Urgent: Apply before the window closes May 6. With the pandemic expected to stretch into next year, telehealth will continue to be the modus operandi for many providers to care for patients virtually. Whether you need to boost your current [...]
Medicare has made the first major changes to PACE regulations since 2006, the Centers for Medicare & Medicaid Services notes in a release. They come after enrollment in Program of All-inclusive Care for the Elderly programs has grown 120 percent [...]
Hint: Expect reporting to decrease while financial risks increase. The Medicare Shared Savings Program (MSSP) promotes the principles of quality care, clinical coordination, and cost sharing utilized through Accountable Care Organizations (ACOs). New policy proposals suggest some groups need to [...]
Shifting PACE market may look familiar to hospice industry veterans. A revamp of Medicare’s PACE program may affect hospice patients, too — and open up a potential new business avenue for you. Game changer: Under language in the Balanced Budget [...]
Non-profit PACE programs now allowed. Changes to Medicare’s PACE program may affect home care and hospice patients, too — and open up a potential new business avenue for you. Game changer: Under language in the Balanced Budget Act of 1997, [...]
OMHA proposals to shorten appeals timeframes could restrict your appeal rights, advocates warn. In addition to increasing the HHS Office of Medicare Hearings and Appeals’ funding to double the Office’s capacity for processing appeals, Chief Administrative Law Judge Nancy Griswold also suggested the [...]
OMHA proposals to shorten appeals timeframes could restrict your appeal rights, advocates warn. In addition to increasing the HHS Office of Medicare Hearings and Appeals’ funding to double the Office’s capacity for processing appeals, Chief Administrative Law Judge Nancy Griswold [...]
Be patient: Cutting your losses and taking 68% isn’t the answer, experts say. The Centers for Medicare & Medicaid Services (CMS) can’t keep up with the rising number of claims appeals, and now Congress and industry stakeholders are getting involved. [...]
A Brooklyn, NY healthcare clinic was raking in cash over the past several years, despite the fact that investigators say its medical director wasn’t even on site to perform the services being billed to Medicare and Medicaid. The doctor pleaded [...]
The minimum dollar amount required for your appeal to go before the ALJ or federal court will increase in the New Year. The amount that must remain in controversy for Administrative Law Judge hearing requests filed before Dec. 31, 2014 [...]
