October 21, 2019

Medicare Sequester Extended Two Years

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The Bipartisan Budget Act of 2019, signed into law last week by President Donald J. Trump, includes an extension of…

October 21, 2019

CMS Is Putting Primary Care First

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Beginning January 2020, primary care practitioners may qualify to participate in one of five new payment model options that focus…

October 15, 2019

When A Doctor’s Screen Time Detracts From Face Time With Patients

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As Wei Wei Lee sat with her doctor to discuss starting a family, she felt a “distance” between them. The…

October 3, 2019

Take A Look At Latest PDGM Clarifications from CMS

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One piece of information you may find surprising from an Aug. 21 Centers for Medicare & Medicaid Services education call, “Home Health Patient-Driven Groupings…

October 3, 2019

New Medicare Card: Transition Period Ends in Less Than 5 Months

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Members, please pay close attention if you are a Medicare provider. All new Medicare cards have been mailed. The Centers…

October 3, 2019

Can an ACO Benefit Independent Physicians?

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An Accountable Care Organization (ACO) is a voluntary association of healthcare providers that bases physician reimbursement on performance quality and…

October 3, 2019

Bankruptcy Court Stops Medicare from Recouping Monies Owed by Provider

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A Delaware Bankruptcy Court Judge has entered an order prohibiting Medicare from withholding payments to a diagnostic testing provider, True…

July 12, 2019

How will the EMPOWER Care Act affect HHAs?

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The Empower Care Act (Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources, and Care) was re-introduced to the senate early…

July 10, 2019

Program for Evaluating Payment Patterns Electronic Report

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New Home Health Agency PEPPER Available The Q4CY18 release of the Home Health Agency (HHA) Program for Evaluating Payment Patterns…

July 3, 2019

July 2019, Quarterly Release Temporary Hold

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Each quarter, the Fiscal Intermediary Shared System (FISS) is updated to include new logic for claims processing, pricing, etc. When…

July 3, 2019

What Physicians should know about Value-Based Payment Models

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Payment models have undergone numerous and frustrating changes over the past few years, and the implementation of the value-based reimbursement…

June 24, 2019

CMS Announces Further Changes to Support Hospice Eligibility Inquiries in HETS

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Over recent years the Centers for Medicare & Medicaid Services (CMS) has sought to streamline hospice beneficiary eligibility inquiries and…