Tag: payers

CMS releases rule to improve exchange of data, reduce burden

CMS has issued a proposed rule that would improve electronic exchange of health care data among payers, providers, and patients and streamline processes related to prior authorization to reduce burden on providers and patients, according to a press release. Released Thursday, Dec. 10, the rule would give providers more time to focus on their patients […]

Ask the expert: Medicare replacement plans

Q: We have several Medicare replacement plans. When scheduling the MDS, we are currently doing 5-day admission, 14-day, 30-day, etc., along with a Change of Therapy (COT) assessment if needed. Is this the correct schedule? We also have several residents who are insurance primary, but have Medicare secondary. We are doing the same schedule with […]