Need help unpacking the final rules? Consult an Advisor The Centers for Medicare & Medicaid Services (CMS) issued its final rule updating the Home Health Agencies (HHA) payment rates and policies for the calendar year (CY) 2025 Home Health prospective payment system (PPS). CMS estimates a 2.7...
CMS will accept comments on the Proposed Rules through September 11, 2023. Final rules should be issued in November of 2023. If you have any questions on either of the Proposed Rules, please do not hesitate to contact your Dinsmore healthcare attorney. ...
Healthcare Update: CMS Releases Proposed Rules for Outpatient Hospital Payments and Physician Payments; CMS Proposes Home Health Cuts; Debt Ceiling Agreement Could Include Healthcare CutsLeslie J. Levinson
The CMS Interoperability and Prior Authorization Rules Podcast — Drug Pricing: How Are Payers Responding to the IRA? Findings from Gibbins’ Annual Healthcare Bankruptcy Report A Fond Farewell: Musings on the End of the Medicare Advantage Hospice Carve-In Demonstration ...
CMS defines a pseudo-patient as a person trained to participate in a role-play situation, or a computer-based mannequin device. CMS defines simulation as a training and assessment technique that mimics the reality of the home care environment. ...
These rules include an obligation to monitor and oversee the activities of their subcontractors, i.e., “first tier entities,” and downstream and related entities (collectively, “FDRs”). FDRs are subject to CMS’s marketing and communications regulations via contractual “flow-down” provisions...
If a practice location (e.g., hospital unit) has a CMS Certification Number (CCN) that is in any way different from that of the main provider, the contractor shall create a separate enrollment record in PECOS for that location; this does not apply, however, to home health agency (HHA)...
Administrative Simplification Standards strives to implement the adoption of national electronic healthcare records, guarantee patient privacy and security, and enforce HIPAA rules.7CMS oversees quality in clinical laboratories and long-term care facilities and provides oversight of the health insurance ...
Theproposed rules,Ensuring Access to Medicaid Services (Access NPRM)andManaged Care Access, Finance, and Quality (Managed Care NPRM), also include accountability standards and improvements tohome- and community-based services(HBCS) provided through Medicaid and the Children’s Hea...
Aside from the new digital therapeutics codes, the provisions in the 2025 PFS proposed rule that affect virtual care are largely continuations from previous PFS rules. For instance, CMS plans to continue allowing distant site practitioners to use their practice location instead of their home ...