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Category: Medical Billing & Collections

Home Health Billing / Hospice Billing / Medical Billing & Collections / Skilled Nursing

Updated PEPPER Retrieval Maps Allow Comparison By State

The PEPPER Team has updated the maps that display the PEPPER retrieval rates for PEPPERs accessed via the PEPPER Resources Portal for each state/territory. Percentages reflect the PEPPER release that …

COVID-19 / DME Billing / Home Health Billing / Hospice Billing / Medical Billing & Collections / Skilled Nursing

HHS Begins Distributing Phase 3 COVID-19 Provider Relief Funding

From HHS: Today, the Trump Administration, through the Health Resources and Services Administration (HRSA) is announcing it has completed review of Phase 3 applications from the Provider Relief Fund (PRF) …

Medical Billing & Collections

New Proposed Rule from CMS: Addressing Prior Authorization and Increasing Access to Medical Records

Today, CMS issued a proposed rule that would improve the electronic exchange of health care data among payers, providers, and patients, and would streamline processes related to prior authorization to …

Home Health Billing / Hospice Billing / Medical Billing & Collections / Skilled Nursing

The New Geographic Direct Contracting Payment Model from CMS

CMS announced a new voluntary payment model: The Geographic Direct Contracting Model (Geo). Geo will test an approach to improving health outcomes and reducing the cost of care for Medicare …

Medical Billing & Collections

CMS Releases the 2021 Physician Fee Schedule Final Rule

CMS has issued its annual Physician Fee Schedule (PFS) final rule that includes updates on policy changes for Medicare payments under the PFS and other Medicare Part B issues, on …

Medical Billing & Collections

New 2020 Events Added to Automatic Extreme and Uncontrollable Circumstances for MIPS

From CMS: “In response to the Federal Emergency Management Agency (FEMA) designation of Hurricane Laura and the California and Oregon wildfires as national disasters, CMS has determined that the automatic …

Home Health Today / Hospice Today / Medical Billing & Collections / Skilled Nursing

CMS will retire the original Compare Tools Websites on December 1st.

From CMS: “In early September, the Centers for Medicare & Medicaid Services (CMS) released Care Compare on Medicare.gov, which streamlines our eight original health care compare tools.  Since then, you’ve …

Medical Billing & Collections / Skilled Nursing

SNFs: More Scrutiny Coming Your Way! Stay on Top of the 3 Day Inpatient Hospital Stay Requirement.

An Office of Inspector General (OIG) report found that Medicare improperly paid for SNF services when patients didn’t meet the Medicare 3-Day inpatient hospital stay requirement. Here is the summary …

COVID-19 / Medical Billing & Collections

CMS Takes Steps to Ensure Medicare Beneficiaries Have Wide Access to COVID-19 Antibody Treatment

From CMS’ MLN Connects: “CMS announced that starting November 10, Medicare beneficiaries can receive coverage of monoclonal antibodies to treat COVID-19 with no cost-sharing during the Public Health Emergency (PHE). …

Medicaid / Medical Billing & Collections

CMS Announces Medicaid and CHIP Managed Care Final Rule

CMS has released the 2020 Medicaid and Children’s Health Insurance Program (CHIP) Managed Care final rule. According to CMS’ Press Release: “The rule fosters accountability by ensuring CMS issues guidance …

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    • The Hospice Outcomes and Patient Evaluation (HOPE) Tool Launches October 1, 2025!
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    Insights & News

    • The Hospice Outcomes and Patient Evaluation (HOPE) Tool Launches October 1, 2025!
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    • Was Your Business Conned by an Unethical Employee Retention Credit (ERC) Preparer? Withdraw Your Claim Before it’s too Late!

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