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‘We Need A Break, Please!’: Home Health Providers Sound Off On CMS Over Rate Cuts

Home Health Care

That was the one-word response a home health provider left for the Centers for Medicare & Medicaid Services’ (CMS) during the comment period on the 2025 home health proposed payment rule. The result of amputation resulted in significantly higher expense to Medicare than paying for adequate wound care wound cost.

Medicare 109
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CY 2022 Physician Fee Schedule Final Rule

Briggs Healthcare

CMS’ Calendar Year (CY) 2022 Physician Fee Schedule (PFS) final rule will promote greater use of telehealth and other telecommunications technologies for providing behavioral health care services, encourage growth in the diabetes prevention program, and boost payment rates for vaccine administration.

Medicare 105
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Why Avoiding Costly Coding Mistakes Is More Critical Than Ever

HIT Consultant

Hilton Hudson, MD, FACS, and CEO of HPC International In May 2022, a California doctor was sentenced to nearly eight years in prison for his involvement in a $12 million Medicare fraud scheme. million in reimbursements from Medicare over a three-year period. This prevents errors and helps accurately represent services provided.

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Improving Non-Emergency Medical Transportation: Driving Better Outcomes for Patients and Health Plans

HIT Consultant

Andy Auerbach, Chief Revenue Officer of SafeRide Health As the healthcare industry continues to evolve, there is a growing need for innovative solutions that not only improve the quality of care but also make care more accessible. adults without access to a vehicle or public transportation skipped needed medical care last year.

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Provider and Supplier Compliance Education Through Quality in Focus (QIF) Trainings

Briggs Healthcare

CMS performs over 100,000 compliance surveys of Medicare and Medicaid-certified providers and suppliers, each year. The intent of this initiative is to provide a resource for providers and suppliers to proactively address common compliance concerns and therefore increase the quality of care for patients and residents.

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CMS Revises Fiscal Year (FY) 2023 State Performance Standards System (SPSS) Guidance

Briggs Healthcare

The SPSS is aligned with CMS expectations for State Survey Agency performance in accordance with the §1864 Agreement and all related regulations and policies intended to protect and improve the health and safety of Americans such as the State Operations Manual, the Mission and Priority Document, survey procedure guides, and other relevant documents.

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‘Bad Apples In A Barrel’: How Fraudsters In Home Health Care Impact The Entire Space

Home Health Care

However, there’s a difference between providers that have made errors in claims processing or quality of care provisions versus those taking part in purposeful fraudulent activity, according to National Association for Home Care & Hospice (NAHC) President William A.