Tag: compliance

Quality Payment Program short training videos now available

The Centers for Medicare & Medicaid Services (CMS) have created a number of new, self-paced educational videos that are now available on YouTube (Go.cms.gov/QPPvideos) and the agency’s Events page. These videos help to explain aspects of the Quality Payment Program in approximately 10 minutes or less. The agency believes stakeholders will greatly benefit from this […]

Reminder: Written notice of all resident transfers and discharges required under new rule

As part of the final rule published in October 2016 by Centers for Medicare & Medicaid Services (CMS) revising Conditions of Participation, new requirements were placed on the resident transfer and discharge process, mandating that: The facility must notify the resident and the resident’s representative of the transfer or discharge in writing; and The facility […]

CMS experts to present on SNF Value-Based Purchasing Program, March 15

On Wednesday, March 15, 1:30pm – 3:00pm ET, CMS experts will present on the Skilled Nursing Facility (SNF) Value-Based Purchasing (VBP) Program, including confidential quarterly feedback reports and implementation guidance. During this call, listeners will: Gain an understanding of the significance of readmissions and how SNF risk-standardized readmission rates are computed Learn how to navigate […]

Hospice compliance, staff turnover are billing issues

The top problem hospice billing departments face today is compliance in the midst of CMS’ changing reimbursement landscape, says Casey Fenton, a director at Precipio Health Strategies and co-author of The Hospice Guide to Billing and Reimbursement: Durable Guidance and Strategy for a Shifting Payment Landscape, recently published by HCPro. Hospice billing saw quite a few changes […]

Digital Standards and Operating Rules adopted by HHS under HIPAA

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required HHS to establish digital standards for business-related tasks like submitting claims and getting paid. The goal is to reduce paperwork and streamline business processes across the health care system. Standards allow information to be shared digitally in consistent ways. With common standards for content […]

Outpatient Therapy Functional Reporting: Ensure You are in Compliance

CMS has implemented a new claims-based data collection system for outpatient therapy services by requiring reporting of functional limitations with 42 new nonpayable G-codes and 7 new modifiers on specified claims for physical therapy (PT), occupational therapy (OT) and speech-language pathology (SLP) services. The claims-based data collection system is effective for outpatient therapy services with […]