WASHINGTON, D.C. (May 31, 2019)—The Centers for Medicare & Medicaid Services (CMS) will be hosting two Special Open Door Forums (ODF) on June 4 and June 12, 2019.
Prior Authorization
On...
WASHINGTON, (April 18, 2019)—The Centers for Medicare & Medicaid Services (CMS) has selected 12 additional items of Durable Medical Equipment (DME) to be subject to required prior...
(June 27, 2018)—The Integrated Care Resource Center (ICRC) recently released a briefing titled “Facilitating Access to Medicaid Durable Medical Equipment for Dually Eligible Beneficiaries in the...
WASHINGTON, D.C. (June 4, 2018)—On Friday, June 1, 2018, CMS released CMS-6080-N, “Medicare Program; Update to the Required Prior Authorization List of Durable Medical Equipment, Prosthetics,...
By Kristin Easterling
(May 24, 2018)—Recently, the Government Accountability Office (GAO) conducted a study on Medicare prior authorization requirements. The requirements began in seven states...
—Via AAHomecare—WASHINGTON, D.C. (August 16, 2017)—Last year, CMS finalized the rule to move forward with expanding the prior authorization (PA) program. Although the program has great support...
Via AAHomecare—WASHINGTON, D.C. (May 17, 2017)—We have just received confirmation that Congresswoman Marsha Blackburn (R-Tenn.) has formally introduced legislation that would require prior...
WASHINGTON, D.C. (June 9, 2016)—The Partnership for Quality Home Healthcare—a coalition of home health providers dedicated to improving the integrity, quality and efficiency of home health care...
WASHINGTON, D.C. (May 13, 2016)—The Partnership for Quality Home Healthcare—a coalition of home health providers dedicated to improving the integrity, quality, and efficiency of home health care...
Medicare “Hospital Star Rating” May Correspond to Patient Outcomes
The Centers for Medicare and Medicaid Services has been letting patients grade their hospital experiences, and those “patient...
Recently I received a call from an insurance specialist at the imaging center where I will be having an MRI soon. The purpose of the call was not to remind me about my appointment, but to inform me...
WASHINGTON, D.C. (January 7, 2016)—On December 29, 2015, CMS published the final rule to Medicare Program: Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics,...
Learn how to avoid barriers for improving care coordination across the continuum, which will help you reduce costs and the number of return hospital visits.
