The Centers for Medicare & Medicaid Services (CMS) is considering launching a three-year demonstration in which beneficiaries would need to
...Continue reading2016 PEPPER Reports: Are You an OUTLIER?
The fourth round of PEPPER (Program for Evaluating Payment Patterns Electronic Report) was recently released for hospice providers. The first
...Continue readingProvider Based Clinic: The Era of the Extra Payments May Be Coming To an End
Last year, President Barack Obama signed into law a bill—the Bipartisan Budget Act of 2015 (BBA) – that significantly changes
...Continue readingWhy Dementia Patients Are Under-Enrolled In Hospice Programs?
Almost 46% of nursing facility residents and 21% of seniors living in the community suffers from possible dementia. Dementing illnesses
...Continue readingLGBT-Friendly: How to Ensure Quality LGBT Patient Care
Jakob Rumble, who identifies himself as a transgender man, sorts treatment at Fairview Southdale Hospital in June 2013. During his
...Continue readingUnderstanding CMS’s 60 Day Refund Rule
As a feature of the Affordable Care Act “ACA”, Congress defined the process for providers to return Medicare and Medicaid
...Continue readingNIST’s New Cybersecurity Guidance will Help Hospitals withstand Hostile Cyberattacks
According to Ronald Ross—NIST fellow— the National Institute of Standards and Technology is all set to deliver new cybersecurity guidance
...Continue readingNYP Hospital Pays $2.2M HIPAA Settlement for Filming TV Series
The Department of Health and Human Services, Office for Civil Rights (OCR) has reached a $2.2 million settlement with New
...Continue readingHospitals Seething over CMS’s Proposal to Recover Overpayments
The hospitals celebration on Medicare pay cut tied to the so-called two-midnight rule was clearly short lived, as they’re now
...Continue reading6 Key Takeaways from the New Face-to-Face Regulation for Medicaid Home Healthcare Services
On February 2, 2016, the Centers for Medicare and Medicaid Services released a new regulation requiring patients who receive Medicaid
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