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CMS pushes revalidation deadline to 2015, shares details of enrollment effort
11/14/2011
by: Tina Irgang
CMS has pushed back the completion of its Medicare enrollment revalidation effort to March 2015, giving Medicare administrative contractors (MACs) and providers an additional two years to go through the
CMS backs off some sections of new 855A Medicare enrollment form
11/14/2011
by: Tina Irgang
Medicare providers will no longer be required to complete several sections of a new, more extensive 855A enrollment form CMS issued in July, the federal Medicare agency announced Oct. 27.
The last face-to-face option — Report docs to the government
11/14/2011
by: Tina Irgang
Agencies who have failed to get correct face-to-face encounter documentation from a physician despite multiple attempts may have a last-resort option: Report the physician to the Part B carrier or
Texas case — What you don’t know about clinician visits can hurt you
11/14/2011
by: Burt Schorr

Are your clinicians actually spending the amount of time with patients that’s called for in plans of care?

More final 2012 PPS rule updates
11/14/2011
CMS will report the outcome measure “emergency department use without hospitalization” based on claims data starting in January, as proposed. However, that date is “contingent on the measure’s readiness for
Survey — Medicaid funding is tight but states' interest in HCBS grows
11/14/2011
by: Burt Schorr

Home and community-based services (HCBS) as an alternative to more expensive nursing home care appear to be gaining popularity among states squeezed by recession-caused enrollment increases and precipitous declines in

Therapy assistant productivity declined by 20 percent in the past year
11/14/2011
Home health productivity saw little to no change from 2010 to 2011 for all disciplines, with one notable exception: The average number of daily visits performed by therapy assistants declined
CMS' 2012 PPS rule — A better deal for the industry than expected – or is it
11/07/2011
by: Burt Schorr
CMS has reduced the sting of its 2012 PPS changes with a final rule that will lower Medicare’s home health payments by less than originally proposed.
Final PPS rule softens payment changes for high, low therapy utilization
11/07/2011
by: Ben Penn
CMS’ final 2012 PPS rule has retained its initial proposal to pay less for high-therapy episodes and more for low therapy utilization. But the rates of these case-mix changes have
Agencies — Final rule's face-to-face changes fall short of the mark
11/07/2011
by: Tina Irgang
CMS has finalized a proposed change to the face-to-face encounter requirement that it believes will allow agencies more flexibility in obtaining the required documentation.
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