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Category \ Regulatory


Previous blogs have mentioned CMS’ focus on the Triple Aim: Improving the patient experience of care (including quality and satisfaction); Improving the health of populations; and reducing the per capita cost of health care. In a review of the updated … Keep Reading
The 2018 Home Health Prospective Payment System (HH PPS) Final Rule was recently posted, with no significant payment changes for the coming year. As noted in a November 2 blog post, the Home Health Groupings Model (HHGM) proposed for 2019, … Keep Reading
The much-anticipated draft copy of the Interpretive Guidance of the Conditions of Participation (CoPs) for Medicare- and Medicaid-certified home health agencies was made public recently. This draft copy gives additional insight regarding what the Centers for Medicare and Medicaid Services … Keep Reading
The final rule for the 2018 Home Health Prospective Payment (CMS-1672-F) has been issued by the Centers for Medicare & Medicaid Services (CMS). The most significant omission from the proposed rule released in July is the proposal for a new … Keep Reading
According to the updated home health Conditions of Participation (CoPs), qualifications and expectations of skilled professionals are grouped together and moved to Subpart B Patient Care. As is the theme of the home health CoPs, an emphasis has been placed … Keep Reading
Medical care can be overwhelming and confusing for the average person. I know from my own experiences, I may receive instructions from my physician, ask all the questions I can think of and need to call back with follow up … Keep Reading
Bill Carlson, Dennis Petroskey, Katie Naranjo and Eli Tomar meet with U.S. Rep. Brian Babin (R-Tex.) As the House Republicans offered up their proposal to reform and replace the Affordable Care Act and the markup process began, more than 20 … Keep Reading
In the first blog in this series, we laid out the most salient risks that home health and hospice agencies face today, as identified by Liles Parker PLLC. This entry will focus on the second risk area, exclusion screening. Long … Keep Reading
The Centers for Medicare and Medicaid Services (CMS) announced the postponement of the start dates for the subsequent pre-claim review (PCR) demonstration states – Florida, Texas, Michigan, and Massachusetts. CMS announced the change after the experience in Illinois has highlighted … Keep Reading
The way to deal with the constant barrage of new and updated legislation from the Centers for Medicare and Medicaid Services (CMS) may be simple – give a voice to the patients that you care for on a daily basis! … Keep Reading
Author: CMS
New demonstration enhances agency’s enrollment and investigative options Today, the Centers for Medicare & Medicaid Services (CMS) announced an extension and statewide expansion of fraud-fighting temporary provider enrollment moratoria efforts in six states, along with a new related demonstration project … Keep Reading
Billing and revenue exchange is one of the biggest issues for home health agencies across the nation. Agencies without proper billing practices are facing challenges of delayed payments right now. Agencies must expertly examine and fine tune their auditing and … Keep Reading

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