CMS calls for an overall 1.7 percent payment reduction in 2025 proposed rule released June 26. Medicare officials persist in implementing “deep and destabilizing” cuts for home health agencies in the Centers for Medicare & Medicaid Services latest proposed payment [...]
4% of home health claims in review lacked valid FIPS code. Home health access in rural areas is a real problem, as evidenced by recent MedPAC meeting discussions, among other things. But a new OIG report shies away from acknowledging [...]
CMS rule a ‘gut punch,’ one industry veteran judges. If you think the Centers for Medicare & Medicaid Services has been more reasonable since COVID-19 hit, you may rethink that opinion following the issuance of the 2023 proposed rule for [...]
Expect these critical issues to infuse federal healthcare policies for years to come. The COVID-19 pandemic uncovered long-standing issues in the healthcare industry surrounding health equity, patient safety, and consumer rights. Three recent updates focus on these prevalent problems and [...]
See 3 initiatives that may impact health data for years to come. The COVID-19 pandemic continues to reshape healthcare, revealing longstanding issues in the industry surrounding health equity, patient safety, and consumer rights. Three recent updates by the feds highlight [...]
The crackdown on overtime pay violations continues. Case #1: The U.S. Department of Labor has recovered nearly $138,000 in back wages and damages from a Lubbock, Texas home care provider. Lubbock Essential Home Health Care Inc., operating as Essential Home [...]
More than $620 million should have come out of hospices’ pockets, audit claims. It’s not just Medicare that is putting payments for non-hospice services to hospice enrollees under the microscope. The Massachusetts Office of the State Auditor audited claims paid [...]
It’s not just Medicare that is putting payments for non-hospice services to hospice enrollees under the microscope. Massachusetts Office of the State Auditor audited claims paid by MassHealth for dual-eligible members who were receiving hospice care from January 2015 through [...]
Stay tuned for possible legal challenges. We’re heading into month 17 under the COVID-19 public health emergency, but a raft of new pandemic-related duties is just now set to hit healthcare providers. Background: On Jan. 29, the Occupational Safety and [...]
Question: We saw a patient with gout and we aren’t sure how to report this condition, because the ICD-10 code book contains dozens of codes for this condition. Can you advise? Ohio Subscriber Answer: Gout is a condition that occurs [...]
