Oct 10th, 2019
CMS moves to empower patients to be more active participants in the discharge planning process. A final rule revises and implements discharge planning requirements that hospitals, critical access hospitals (CAHs), and home health agencies (HHAs) must meet as a condition of participation (CoP) in the Medicare and Medicaid programs. These facilities have until Nov. 29, ...
In Billing
Sep 26th, 2019
When calculating an evaluation and management (E/M) level or auditing an E/M service, every Medicare Administrative Contractor (MAC) has always had the points assigned for a new problem under the Number of Diagnoses or Treatment Options based on a new problem to the examiner. This means that, although a problem may be established for a ...
In CMS
Sep 19th, 2019
Proactive rule seeks to curb fraud and abuse against vitally important federal health care programs. The Centers for Medicare & Medicaid Services (CMS) issued a final rule earlier this month that strengthens their ability to stop fraud before it happens by keeping unscrupulous providers out of our federal health insurance programs. This first-of-its-kind action changes ...
In CMS
Sep 9th, 2019
The goals of value-based programs are to boost quality of care, promote health, and lower healthcare costs. The Centers for Medicare & Medicaid Services (CMS) is on a constant mission to transform the delivery of healthcare and how they reimburse healthcare providers. Former President Barack Obama’s healthcare law and subsequent legislation, such as the Medicare ...
Sep 3rd, 2019
In response to Hurricane Dorian, a public health emergency (PHE) is in effect for Puerto Rico, Florida, Georgia, and South Carolina. A temporary waiver of certain Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) requirements; special enrollment opportunities for hurricane victims; and improved access to dialysis care are now in place. The PHE in Puerto ...