Stark Law violations can result in significant reputational damage along with financial penalties for hospitals, which is why it is
...Continue readingCMS Adds Six New Quality Measures to Nursing Home Compare
Recently, skilled nursing home providers have been focusing a lot on keeping their Five Star rating high on the nursing
...Continue readingMACRA – 3 Important Medicare Payment Changes Infographic
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the much awaited change in healthcare—which totally revamps Medicare (Part
...Continue readingWill MACRA Help Providers Increase Medicare Payments in the Future?
MACRA was enacted after several years of short-term “fixes” to prevent payment cuts under the previous sustainable growth rate (SGR)
...Continue readingCMS Needs to Expand its Scope of MACRA Interoperability Measures—Healthcare Experts
The American Hospital Association (AHA) and the American Medical Association (AMA), Healthcare Information and Management System Society (HIMSS), the Personal
...Continue readingCMS’ Home Health Prior-Authorization Policy—A Boon or Bane
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
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