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14 Aug 2020, 11:45 am
As a result, therapists will be able to spend more time providing therapy services to their patients, rather than documenting care in the medical record. [read post]
28 Jan 2020, 9:05 pm
The Fair Indexing for Health Care Affordability Act, however, could provide an immediate solution to what its sponsors have identified as a problem in the way that the government regulates health care costs. [read post]
19 Feb 2023, 7:23 pm
This new provider type has the potential to significantly impact access to care in rural areas, including by provided increased funding to providers in these vulnerable areas. [read post]
21 Nov 2016, 2:46 pm
This requirement applies to: network providers and suppliers; first-tier, downstream, and related entities; providers and suppliers in Program of All-inclusive Care for the Elderly plans; suppliers in cost health maintenance organizations and competitive medical plans; providers and suppliers participating in demonstration and pilot programs; locum tenens suppliers; and incident-to-suppliers. [read post]
27 Sep 2010, 2:24 pm
Implementing global payments for episodes of care will go a long way towards incentivizing providers to join together in ACOs -- not only for purposes of qualifying for an as-yet-to-be-defined CMS demo project, but also for purposes of improving outcomes, and improving financial performance for all providers involved. [read post]
1 Sep 2023, 1:40 pm
If you have any questions or would like to comment on the rule, please reach out to the health care lawyers at Reed Smith. [read post]
15 Nov 2016, 5:47 am
On November 16, 2016, CMS is hosting a call to provide an update on its latest plans to allow eligible providers to settle their inpatient status claims currently under appeal using the Hospital Appeals Settlement process. [read post]
15 Sep 2011, 6:57 am
In July, the HEALTH LAW ATTORNEY BLOG reported on five U.S. [read post]
4 Sep 2020, 9:01 am
The post CMS Issues FY 2021 IPPS and LTCH PPS Final Rule appeared first on Health Law Pulse. [read post]
9 Sep 2014, 9:04 am
The reason for the modification is that health care providers were unable to upgrade to the 2014 certified electronic health record technology ("CEHRT") due to product delays and availability. [read post]
22 Aug 2018, 1:41 pm
The funding from Obamacare, which is part of $250 million for State Rate Review Grants provided by the Patient Protection and Affordable Care Act (PPACA) to improve the process for how States review proposed health insurance rates were allocated in an effort to help stabilize the ACA exchanges and individual insurance markets. [read post]
15 Dec 2011, 9:13 pm
-based home health care provider agrees to pay more than $150,000 in back wages following US Labor Department investigation. [read post]
20 Feb 2014, 2:12 pm
If you need assistance in your defense of a Medicare audit, or have questions pertaining to best practices for appealing to the ALJ, please contact an experienced health care attorney at Wachler & Associates at 248-544-0888 or wapc@wachler.com [read post]
16 Mar 2017, 1:48 pm
One of the focus areas for MedPAC is post-acute care (PAC), which includes skilled nursing facility (SNF), home health agency (HHA), inpatient rehabilitation facility (IRF), and long-term care hospital (LTCH) services. [read post]
13 Jun 2017, 11:01 am
The industry’s response to the ban was swift and resolute—on October 17, 2016, the American Health Care Association and a group of nursing homes filed a lawsuit in federal court seeking a preliminary and permanent injunction to prevent CMS from enforcing the ban on pre-dispute arbitration agreements. [read post]
2 Aug 2011, 6:34 am
The rule prohibits federal payments to states for any amounts spent providing medical assistance for “health care-acquired conditions” (HCAC). [read post]
14 Sep 2016, 6:41 am
CMS has announced that it is allowing Beneficiary and Family Centered Care (BFCC) Quality Improvement Organizations (QIOs) to resume initial patient status reviews to determine the appropriateness of Part A payment for short stay inpatient hospital claims, effective September 12, 2016. [read post]
24 Jun 2024, 11:04 am
The staffing mandate introduced by CMS last September has been the talk of long-term care ever since. [read post]
1 Apr 2015, 10:19 am
” The document includes the following Q&A: Question: How will a health care professional that administers this product get reimbursed under Medicare Part B? [read post]
12 Feb 2016, 8:46 am
On February 11, 2016, CMS issued a final rule clarifying the requirement of § 1128J(d) of the Social Security Act (created by § 6402(d) of the Affordable Care Act) that health care providers must report and return overpayments within 60 days of the date when they have identified the overpayment or the date any applicable corresponding cost report is due, whichever is later. [read post]
