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CMS updated enrollment process for Home Infusion Therapy suppliers

Any providers and suppliers interested in becoming a Home Infusion Therapy (HIT) supplier will be treated as new entrants into the program and be required to comply with all Medicare provider enrollment regulations, according to the 2021 proposed home health prospective payment rate update rule. A HIT supplier can be a pharmacy, physician or provider […]

CMS expands accelerated payments for qualified Medicare providers

Accelerated and advance payments (AAP) could be retrieved in the next few weeks for qualified Medicare providers during the COVID-19 Public Health Emergency (PHE). CMS has released a fact sheet titled “Expansion of the accelerated and advance payments program for providers and suppliers during COVID-19 emergency.” The AAP has been expanded to a broader group […]

Nursing home margins at lowest point since 1999

The lowest average margin for freestanding nursing homes in recent years was recorded in 2018, according to a new report from the Medicare Payment Advisory Commission (MedPAC). The total average margin dropped to -0.3% in 2018, which is the first negative overall margin since 1999. Nursing home margins have been on a year-to-year decline, although […]

COVID-19 tip sheet available through CMS

A COVID-19 public health emergency (PHE) tip sheet is available on CMS’ website. The tip sheet identifies two reporting requirements for The Hospice Quality Reporting Program (HQRP). They are: Hospice Item Set (HIS) Consumer Assessment of Healthcare Providers and Systems ( CAHPS®) Hospice Survey The tip sheet also covers HQRP exemption and extension policies, what […]

Skilled status charting for SNFs

Today, long-term care expert Reta Underwood, Medicare Specialist and president of CLTC, a national long-term care consulting firm based in Kentucky discusses skilled status charting for SNFs, as well as the differences between direct and indirect skilled services. Subscribe on SoundCloud, Spotify, or Apple Podcasts.  

CMS allocates resources to SNFs in COVID-19 hotspots

In an attempt to improve quality for SNFs located in hotspot areas, CMS plans to deploy Quality Improvement Organizations (QIOs) for assistance. QIOs are CMS contractors who work w ith healthcare providers to help them improve the quality of healthcare they provide to Medicare Beneficiaries, according to the CMS press release. Additionally, the survey process […]

IRS furnishes FAQs about taxation of provider relief payments

The IRS has issued frequently asked questions about taxation of provider relief payments. According to the IRS FAQs, “a payment to a business, even if the business is a sole proprietorship, does not qualify as a qualified disaster relief payment under section 139. The payment from the Provider Relief Fund is includible in gross income […]

Medicare relief funds on hold for some SNF providers

Medicare relief funds have been an integral part in keeping some SNFs afloat since the onset of the COVID-19 pandemic, but some providers have yet to see any financial relief. Providers that took over SNFs in early 2020, before the pandemic, were not included in the previous federal aid packages, as the relief funds were […]

Updates to reporting COVID-19 manifestations included in FY2021 coding guidelines

Coders can get a head start on getting to know the changes to coding rules for diagnosis coding as the FY2021 ICD-10-CM Official Guidelines on Coding and Reporting were issued July 8 – weeks ahead of the typical early August release date. The coding guidelines, which take effect Oct. 1, include additional instructions on reporting […]

Managing Communications in the New, Remote World of Work

Effective communication is essential to any team, which is especially true in the business world. Poor communication among team members or different layers of management can lead to a host of problems, including incorrect deliverables, lost productivity, decreased morale, and poor customer service. Communication challenges can arise in any business setting, even within teams that […]