SNF PDPM Assessments and Grouper Update from CMS
Important news for all SNF providers from CMS: “CMS is aware of issues with the latest PDPM DLL Package (V1.0002 FINAL). We are targeting to release an updated version on Monday, October …
Insights and News
Home Health Review Choice Demonstration (RCD) Starting Soon in Texas
The choice selection period will begin on October 16, 2019 and end on November 14, 2019 for Home Health Agencies (HHAs) located in Texas, who submit claims to Palmetto GBA, the Jurisdiction M Medicare …
October 3rd is the Start of the Last 90-Day EHR Reporting Period for the Promoting Interoperability Programs
CMS would like to remind Medicare Promoting Interoperability Program participants that the electronic health record (EHR) reporting period in 2019 is a minimum of any continuous 90-day period in CY …
Home Health Quality Reporting: Non-Compliance Letters
CMS is providing notifications to Home Health Agencies that were determined to be out of compliance with Home Health Quality Reporting Program (HH QRP) requirements, which will affect their CY …
CMS Reveals State-Level Wellness Program Demonstration
CMS released an informational bulletin announcing the opportunity for 10 states to apply to participate in a wellness program demonstration project. This bulletin gives states and issuers new flexibility to …
DOJ to Bring Criminal Charges Against “Worst of the Worst” Nursing Homes
The DOJ is making a push to identify criminal charges that can be brought against nursing homes and staff accused of abusing and defrauding elderly patients. The DOJ’s civil division has …
CMS’ New Rule Reduces Compliance Headaches
This week CMS released Omnibus Burden Reduction (Conditions of Participation) Final Rule. The rule “removes Medicare regulations identified as unnecessary, obsolete, or excessively burdensome on hospitals and other healthcare providers …
New Discharge Planning Requirements for Hospitals, Inpatient Rehabilitation Facilities, and Home Health Agencies
Today CMS issued a final rule that sets new requirements for discharge planning. CMS wants patients to have a more active role in the process, as well as continue to …
Walmart Opens Its First Health Clinic
The first Walmart Health clinic opened this month in Georgia. The clinic works with local providers to offer services including primary care, lab work, x-rays, EKGs, vision and hearing care, …
CMS Announces New Details About 2020 Medicare Advantage Plans
CMS announced today that most Medicare Advantage beneficiaries will enjoy lower premiums and expanded benefits next year. Among the facts released today, CMS highlighted: The Medicare Advantage average monthly plan …