Regulatory Compliance
01/09/2020
Following a recent DecisionHealth webinar on billing practices to break through PDGM barriers, agencies asked questions of billing experts Anslee Cervenka, director of revenue cycle, and Summer Napier, founder and CEO, both of Healing Hands Healthcare in Wichita Falls, Texas. Here are some of their answers.
01/09/2020
Come April, coders will have a diagnosis code to capture vaping-related disorders.
01/09/2020
When it comes to workplace injuries, many states provide specific guidance for reporting injuries by both employees and employers. As an employer, you must remember that to properly manage a workers’ compensation claim, you should report the injury as soon as your employee notifies you that it occurred and immediately start your investigation, especially if you have any reason to question whether a workplace injury actually occurred.
12/18/2019
Following a recent DecisionHealth webinar on the final changes to the Patient-Driven Groupings Model (PDGM) and other major provisions of the 2020 PPS final rule, agencies asked questions of industry expert Robert Markette, an attorney with Indianapolis-based Hall, Render, Killian, Heath & Lyman. 
12/12/2019
An extensive manual change concerning enrollment deactivations suggests that CMS is trying to make it easier for providers to avoid the hassle of accidental removal from Medicare — but you still have to know and follow the rules.
12/12/2019
Expect to see changes in how your Medicare payments are audited. CMS has tweaked its recovery audit program to hold the recovery audit contractors (RACs) more accountable and reduce provider burdens.
12/04/2019
Muscle weakness is one of the most commonly seen and assigned primary diagnosis codes in home health.
12/04/2019
A sweeping new Medicare enrollment final rule with comment period will eventually require all providers and suppliers to report even modest relationships with other entities whose debts, exclusions, revocations and suspensions may affect you.
12/04/2019
A new proposed rule from the U.S. Department of Labor (DOL) intends to clarify that employers who pay nonexempt workers bonuses or other incentive-based pay in addition to a fixed salary can use the fluctuating workweek (FWW) method of paying overtime as a way to keep costs down as long as other requirements for using the method are met.
12/04/2019
Many times, when employers receive an Occupational Safety and Health Administration (OSHA) citation — if not most times — they claim it wasn’t their fault, but rather the employee did something stupid. OSHA recognizes such a defense, called the “employee misconduct” defense. It is an affirmative defense, meaning the employer has the burden of proof in establishing the misconduct.

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