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Category \ Regulatory


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
One of the greatest opportunities for home care agencies today is to reduce hospital readmissions. Agencies should seize the opportunity to partner and build relationships with hospitals, rehab centers and ACOs to help alleviate the penalties hospitals face for patients … Keep Reading
The Centers for Medicare and Medicaid Services (CMS) has made history by releasing the first ever Home Health Experience of Care Star Ratings. The CMS Deputy Administrator and Chief Medical Officer Patrick Conway, M.D., MSc. stated “Having the HHCAHPS Survey … Keep Reading
The Centers for Medicare and Medicaid Services (CMS) recently released the draft copy of the updated Outcome and Assessment Information Set, OASIS-C2. The newly updated OASIS-C2 data set is scheduled to replace OASIS-C1 on January 1, 2017, and has multiple … Keep Reading
The Centers for Medicare and Medicaid Services (CMS) recently sent out MLN Matters number SE1524[1], which announced a “Probe and Educate” review of claims by Medicare Administrative Contractors (MACs) for episodes starting August 1, 2015 and beyond.  This CMS mandated … Keep Reading
Marvin Javellana, co-owner of the Better Care Home Health agency, explains how data from Axxess and the clinicians at the agency have proved the organization’s value as a member of an Accountable Care Organization (ACO). Axxess tracks key data that … Keep Reading

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