CMS proposes clarifying regulations text changes regarding the election statement addendum requirements that were finalized in the FY 2020 Hospice Wage Index and Rate Update final rule. As this was put into place in 2020, CMS has received stakeholder requests for additional insights. Hospice waivers m...
The Hospitals Without Walls initiative will relax regulations limiting hospital care and billing within the organization’s metaphorical four walls. For example, CMS will now allow hospitals to leverage the capacity at ambulatory surgical centers that have canceledelective surgeriesduring...
CMS proposes an expansion of the regulations related to exclusion from the Medicare program. The proposed rule would allow CMS to revoke a provider’s or supplier’s Medicare enrollment if convicted of a federal or state misdemeanor within the previous 10 years. For exclusion to apply, CMS...
On May 16, 2012, the Centers for Medicare & Medicaid Services (CMS) published a final rule reforming the conditions of participation, the federal health and safety regulations that hospitals must meet to ensure high-quality care for all patients and to be eligible to receive reimbursement from ...
It’s important that providers track actions taken in response and act accordingly. Providers will want to ensure that they have systems in place to return to normal laws, regulations, and rules as soon as the pandemic subsides. Documentation and Information Tracking ...
WHAT CAN WE DO FOR YOU? WE HELP SIMPLIFY THE COMPLEX WORLD OF HEALTH CARE Our firm simplifies the complex world of health care regulations so you don’t have to through evidence-based assessments, education, and collaboration.Our mission is to empower health care professionals like you to effe...
The Centers for Medicare & Medicaid Services (CMS) published aFinal Ruleon April 4, 2024, that makes a number of changes to regulations governing the Programs of All-Inclusive Care for the Elderly (PACE). Among other things, the Final Rule gives CMS additional grounds on which to deny PACE...
For CY 2025, CMS is proposing to adjust its ASC conversion factor to $89.379 for ASCs meeting quality reporting requirements and a conversion factor of $87.636 for ASCs failing to meet those requirements. Hospitals failing to meet the Hospital Outpatient Quality Reporting (OQR) Program reporti...
Connecting to a health information exchange (HIE) may be the best way for provider organizations to comply with new CMS interoperability regulations that require hospitals to send patient event notifications through the admission, discharge, and transfer (ADT) messaging standard, according to P...
Hospitals should maintain communication with their state departments of health to ensure that any action taken aligns with the state response to the COVID-19 PHE and any other applicable state laws or regulations. The model proposed by CMS in the IFR only applies to Medicare beneficiaries. Other...