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The first reporting period is just around the corner in mid-June. On May 11, 2021, the Centers for Medicare & Medicaid Services (CMS) released an interim final rule that includes a new provision: Long-Term Care (LTC) Facility Vaccine Immunization Requirements [...]
Don’t ignore any ‘credible information’ on potential overpayments, the feds warn. If your patients improve too much while under your care, don’t be surprised when the OIG comes knocking. That’s one of the reasons the HHS Office of Inspector General [...]
Number of Miami HHAs nearly 2,000% higher than average. The feds are using data mining like never before to pinpoint fraud hot spots. These are the 2012 stats the Centers for Medicare & Medicaid Services used to help determine whether [...]
CMS is looking at how many Start of Therapy (SOT), End of Therapy (EOT) and Change of Therapy (COT) assessments are being completed.If you're looking for more direction from CMS on reporting therapy, there's good news. CMS officials responded to [...]
Check out the latest guidance on when and how to complete SOTs, EOTs & COTs.Providers had plenty of questions regarding therapy coding and the completion of SOTs, EOTs and COTs for CMS officials during the SNF Open Door Forum on [...]
Question: A patient reports to the ED with two cuts on his right forearm: a deep 6-cm laceration near the elbow, and a 3-cm superficial laceration near the wrist. After a level-three E/M, the physician preps and drapes the patient's [...]
Question: A patient reports to the FP with two cuts on his right forearm: a deep 6-cm laceration near the elbow, and a 3-cm superficial laceration near the wrist. The physician preps and drapes the patient's arm, performs layered closure [...]
Question: A patient reports to the internist with two cuts on his right forearm: a deep 6-cm laceration near the elbow, and a 3-cm superficial laceration near the wrist. The physician preps and drapes the patient's arm, performs layered closure [...]
Question: Can a group health plan disclose protected health information to the plan sponsor without obtaining an individual's authorization if the information is required by the Centers for Medicare & Medicaid Services for the retiree drug subsidy?New York Subscriber Answer: [...]
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