Beware of common ownership and subcontract arrangements
CMS/Medicare
The Centers for Medicare & Medicaid Services (CMS) is a department of Health and Human Services (HHS). The current administrator is Seema Verma, appointed by President Donald Trump.
CMS oversees the Medicare and Medicaid programs. CMS collects and analyzes data, produces research reports, and works to eliminate instances of fraud, waste and abuse within the health care system.
Evolving market requires focus on local market dynamics
(July 19, 2018)—The U.S. Senate unanimously approved legislation to delay until 2020 the requirement of electronic visit verification (EVV) to document when personal care services are provided. An identical bill passed the House of Representatives, sending the legislation to President Trump to sign into law.
WASHINGTON, D.C. (July 11, 2018)—The Centers for Medicare & Medicaid Services (CMS) proposed changes to the Medicaid Provider Reassignment regulation that would eliminate a state’s ability to divert Medicaid payments away from providers, with the exception of payment arrangements explicitly authorized by statute.
Opportunities for improvement exist
Catching up with AAHomecare's efforts to clarify Medicaid Cures claims
Agency green lights remote monitoring, new groupings model
WASHINGTON, D.C. (July 3, 2018)—To foster adoption of emerging technologies by home health agencies and to result in more effective care planning, the Centers for Medicare & Medicaid Services (CMS) proposed an updated home health prospective payment system (PPS), adding allowables for remote patient monitoring technology and implementing a new patient-driven groupings model (PDGM).
WASHINGTON, D.C. (June 27, 2018)—The Centers for Medicare & Medicaid Services (CMS) announced new and enhanced initiatives designed to improve Medicaid program integrity through greater transparency and accountability, strengthened data, and innovative and robust analytic tools.
Conducting a mock audit shows good intentions to payers and auditors
Managing the circumstances of returning to work or a NICU baby
How the home health case creates new opportunity for DME providers
A brief review of recent hospice news.
By Liz Carey
(May 4, 2018)—The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1692-P) that would update the Medicare hospice wage index, payment rates, and cap amount for fiscal year (FY) 2019. As proposed, hospices would see an estimated 1.8 percent ($340 million) increase in Medicare payments for FY 2018.
Highlights of the proposal include physician assistants serving as attending physicians, effective January 1, 2019.
American Hospital Association says March 12 deadline too soon
Bundled payments demonstrated savings
Connected care is a risky business, but Carequality smooths the way
Trending
Despite obstacles, the industry pushes forward
HomeCare Heroes 2025 Finalist
HomeCare Heroes 2025 Finalist
HomeCare Heroes 2025 Finalist
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