Regulatory Compliance
11/21/2024
Providers must monitor operations for possible instances of waste. One of the most common waste-related mistakes occurs when agencies allow all their field clinicians to set their visit frequencies without review.
11/21/2024
Ensure that you’re aware of the impact that some bonuses could have on your employees’ overtime pay in order to steer clear of government investigation or fines.
11/21/2024
Despite eagerness from the industry for new code Z51.A (Encounter for sepsis aftercare) to potentially receive a clinical group designation. 
11/14/2024
CMS clarified requirements around new Conditions of Participation (CoPs) regarding an acceptance-to-service policy and required public information about the services agencies provide. CMS isn't expecting the same level of detail in the public information.
11/14/2024
The industry was pleased to see Endocrine 3 (Type 1, Type 2, and Other Specified Diabetes) finalized for addition to the low comorbidity subgroup list. And while many of the PDGM functional points are set to remain the same, there are several that are set to decrease by a point or more.
11/07/2024
Implement systems that allow you to accurately track and reimburse clinicians’ travel time and mileage between patients. Employers who provide competitive transportation reimbursement may attract new talent, while those who fall behind could face costly legal battles.
11/07/2024
A better approach when a surveyor identifies a potential finding is to say, “I’m surprised to hear this; I had been informed that we were on top of this issue through our internal monitoring. But thank you; we will certainly look into this.”
11/07/2024
Home health and other post-acute providers are getting a better look at prior authorization practices by Medicare Advantage (MA) payors — and more data on home health utilization in MA is on the way.
10/31/2024
Regardless of the results of the presidential election, a high-profile pitch to expand home care access for Medicare beneficiaries has put fresh political attention on services in the home for seniors.
10/31/2024
What does the recent court decision related to the FTC’s final rule that banned noncompete agreements mean for your organization?

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