Regulatory Compliance
11/06/2025
With Medicare open enrollment running through Dec. 7, 2025, your agency needs to make sure that any changes are reflected in patient information, documentation and billing efforts. Staff play a key role in minimizing service disruptions for the patient and revenue cycle disruptions for the provider.
10/30/2025
Recent encounters with U.S. Immigration and Customs Enforcement (ICE) officers at health care facilities suggest that providers with foreign national employees or patients should prep staff to be extra cautious.
10/23/2025
Just because a home health service is ordered doesn’t mean it’s medically reasonable and necessary. Emphasize the importance of highlighting why care is skilled, reasonable and necessary throughout the quality assurance process.
10/23/2025
As reviewers focus on the need for skilled nursing in recent pre-claim non-affirmations and medical review denials, keep these expert tips in mind.
10/23/2025
Agency leaders have to develop the eyes of a surveyor to catch noncompliance before a visit. 
10/16/2025
On the medication profile, you have to include the medication, the dose, the route, the frequency and the reason. PRN medications are the biggest culprit. Clinicians aren’t writing down the reason and the time for when the patient takes the medications.
10/16/2025
When it comes to HIPAA enforcement, the Office for Civil Rights (OCR) has made it clear that accountability doesn’t stop with the compliance officer. In fact, several of its recent enforcement actions highlight serious organization-wide breakdowns linked to access controls, risk analyses and failing to terminate user access in a timely fashion.
10/09/2025
Keep a close eye on your employees’ work authorization details. With the government cracking down on immigration law, agencies that fall behind in tracking their staff’s Employment Authorization Document (EAD) verification could face steep civil and criminal penalties, according to industry experts. 
10/03/2025
As a result of the recalculation request process, CMS adjusted the APR data used for agencies in the larger-volume cohort.
10/02/2025
With the budget impasse in Washington, the waiver that allowed for telehealth use for face-to-face encounters expired Sept. 30.

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