Regulatory Compliance
04/02/2071
In response to the COVID-19 pandemic, which was declared a national emergency, the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) is implementing a new diagnosis code U07.1 (COVID-19) into the ICD-10-CM code set.
04/02/2071
In response to the COVID-19 pandemic, which was declared a national emergency, the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) is implementing a new diagnosis code U07.1 (COVID-19) into the ICD-10-CM code set.
07/23/2026
Focus documentation on the patient’s condition or care at recertification to avoid the eye of medical reviewers already skeptical of subsequent periods. Every claim is under close scrutiny these days, but auditors are focusing more attention on longer lengths of stay.
07/23/2026
Get ready for a revised accreditation process, including changes to when your agency can work with its accrediting organization (AO) to conduct a mock survey. Agency leaders should revisit survey standards and regulatory language to avoid getting caught off guard by the changes when a surveyor arrives unexpectedly.
07/16/2026
Even with plans for a shorter delay in releasing quality metrics, CMS isn’t able to give you actionable data to improve your scores and your value-based rate adjustment.
07/16/2026
CMS is continuing its chase after improper payments and fraudulent actors in post-acute care, and the home health proposed rule reminded stakeholders that agencies are in the crosshairs.
07/16/2026
Consider how your agency can help patients in need of palliative care, as CMS stresses the value of this service through the home health benefit. But experts caution that you shouldn’t roll out new programs around palliative care until more information has been released.
07/02/2026
Make sure plans of care, OASIS assessments and visit documentation are unique to the patient and not cut-and-paste copies of the same text again and again. Agencies are losing payments under medical review when there's little difference in documentation from patient to patient, experts note.
06/25/2026
The Post-Acute Care Medicare Advantage (MA) Coalition argues that new OIG reports show MA plans are using prior authorization and other tactics to restrict beneficiaries from receiving services that MA organizations are legally required to provide.
06/18/2026
Protect your patients and community by closely adhering to state and federal regulations around how to properly dispose of unused patient medications. Both home health and hospice agencies are held to strict standards around this practice, and failing to maintain adherence could lead to survey deficiencies or corrective action, a notable risk as surveys ramp up as part of CMS’ anti-fraud push. 

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