In CMS
Jul 13th, 2017
The Office of Inspector General’s (OIG) combat on healthcare fraud, waste, and abuse of taxpayer’s money recovers $5 for every $1 spent on investigating, which gives them incentive to target more areas of fraud. The OIG’s latest and largest fraud takedown happened this month when opioid fraud was exposed with the help of state and federal law ...
Jun 14th, 2017
If you haven’t commented on the notice of proposed revisions to the Skilled Nursing Facility Prospective Payment System (SNF PPS) case-mix methodology, it’s not too late. The Centers for Medicare & Medicaid Services (CMS) just granted an extension to the comment period. CMS Extends Comment Period for SNF PPS Case-mix Revisions was last modified: June 16th, 2017 ...
Prepare to comply with the CMS Emergency Preparedness rule now. According to the National Oceanic and Atmospheric Administration, 2015 marked the eighth consecutive year that disaster from extreme weather cost the U.S. economy more than $10 billion. Last year, this trend continued with the massive snowstorms in the Northeast, flooding in Baton Rouge, and earthquakes, ...
In CMS
Mar 31st, 2017
The Centers for Medicare & Medicaid Services (CMS) issued on March 31 a proposed rule (CMS-3819-P2) to delay the effective date for the Medicare and Medicaid Programs: Conditions of Participation for Home Health Agencies (HHA CoPs) final rule. The current effective date for the final rule is July 13. The proposed rule would delay the effective ...
In MACRA
Mar 22nd, 2017
Section 3021 of the Affordable Care Act gives the Center for Medicare and Medicaid Innovation (CMMI) the authority to test alternate payment models (APMs). The goals of these APMs are to reduce program expenditures while preserving or enhancing the quality of care for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) beneficiaries. Pediatric Alternative Payment ...