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Centers For Medicare & Medicaid Services

  • Understanding CMS’s New Accreditation Rules—Including Annual Surveys

    The 2026 CMS rule changes for DMEPOS accreditation introduce annual on-site surveys & new compliance requirements
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  • Value-Based Care is Reshaping Wound Care

    How to look at home health wound care from a different perspective, especially if working with ACOs
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  • GUIDE Model Delivers Critical Dementia Support

    How to transform dementia care by offering families access to virtual nursing, respite support & coordination
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  • One More Push for 75-25 Relief

    A call for all hands on deck to secure a better 2025 for the HME industry
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  • Home Health Medicare Pre-Claim Review: The Good, the Bad and the Ugly

    The Pre-Claim Review Demonstration, a recent Medicare home health pilot program from the Centers for Medicare & Medicaid Services (CMS), is one of many new requirements that home health agencies across the country could have to adopt depending on the outcome of recent actions being taken by industry organizations, stakeholders and Congress to extend the delay or withdraw it altogether. Created to enforce a more proactive oversight strategy on Medicare home health coverage in an effort to reduce fraud and abuse, the pre-claim review’s pilot phase was to begin with implementation in Illinois, Florida and Texas in 2016, then Michigan and Massachusetts in 2017—all states with soaring fraud, abuse and over-spending rates. But since the Illinois implementation in August, the National Association for Home Care…
    Read More →: Home Health Medicare Pre-Claim Review: The Good, the Bad and the Ugly

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