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.
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?
10/31/2024
After receiving a Behavioral Health clinical group designation with the most recent Home Health Grouper update, there may now be some instances where vascular dementia can be assigned primary.

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