Regulatory Compliance
CMS has re-released an MLN Matter article to confirm the decision to suppress payments associated with requests for anticipated payment (RAPs) for new agencies also impacts existing agencies that have undergone a change of ownership.
CMS has eased off of plans to implement an 8.01% decrease in agencies’ payments due to changes it anticipates agencies will make in response to the Patient-Driven Groupings Model (PDGM) in 2020.
Coders will now be able to assign six R-codes for dysphagia as a primary diagnosis under the Patient-Driven Groupings Model (PDGM).
CMS is moving full steam ahead toward implementation of the Patient-Driven Groupings Model (PDGM) on Jan. 1, 2020, and agencies must take advantage of the remaining time to prepare.
Big changes are coming to the OASIS in 2021, and CMS expects a draft of the revised assessment in early 2020, according to the 2020 PPS final rule.
Agencies should analyze the way they operate and take a team approach to making key adjustments now in order to prepare for implementation of the Patient-Driven Groupings Model (PDGM) on Jan. 1, 2020.
CMS has delayed implementation of the Review Choice Demonstration (RCD) in Texas, North Carolina and Florida.
Days after the Oct. 15 release of October 2019 quarterly OASIS Q&As, CMS has removed one of the questions and re-released the Q&A document.
Agencies will no longer be required to provide patients with a verbal notification of all their rights — with two exceptions — based on changes finalized in a rule designed to reduce burden in the Medicare and Medicaid programs.
It has become more imperative than ever to comply with HIPAA. The Department of Health and Human Services (HHS) has reduced the annual penalty limits for many HIPAA violations — but appears to be increasing the pressure on providers to follow the rules.


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