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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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Five Individuals and Two Nursing Facilities Indicted on Charges of Conspiracy to Defraud the United States and Health Care Fraud

Briggs Healthcare

Also named in the Superseding Indictment were two nursing facilities operating in Western Pennsylvania, Comprehensive Healthcare Management Services, LLC d/b/a Brighton Rehabilitation and Wellness Center and Mt. Lebanon Rehabilitation and Wellness Center. Lebanon Operations, LLC d/b/a Mt.

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HCPCS vs CPT: Everything You Need to Know

Etactics

Preventing denial codes is essential if you want to keep a steady revenue flow. This is an easily preventable billing error, which we are going to go over in this blog. However, Medicare and other insurance cover a variety of different services and supplies, some of which aren’t identified by CPT codes. 71020 - Chest X-ray.

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Creating a Roadmap for the End of the COVID-19 Public Health Emergency

Briggs Healthcare

The Centers for Medicare & Medicaid Services (CMS) plays an important role in protecting the health and safety of all Americans as they journey through the health care system. There’s a lot of information in the CMS Blog. This is especially true during a pandemic, natural disaster, or other emergencies. and Arjun Srinivasan, M.D.,

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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

NASHP

Yet, states often face barriers to integrated care including a lack of trust across agencies, privacy regulations that may hinder data sharing, and misaligned eligibility, enrollment, and referral systems. High-quality, integrated care requires strong system-level partnerships, information and data sharing, and family-centered practices.

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Patients Facing Death Are Opting for a Lifesaving Heart Device — But at What Risk?

KHN

The lawsuit alleged that Herrman died because a defect in the locking mechanism of the HeartMate 3 prevented the device from sealing, causing multiple strokes and leading to a severe brain injury and multiorgan failure. The article describes how Stulak replaced the device with a new one, but it was too late to prevent the injuries to Herrman.

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CalAIM: Leveraging Medicaid Managed Care for Housing and Homelessness Supports

NASHP

In January 2021, the Centers for Medicare and Medicaid Services (CMS) released a roadmap for states to address social determinants of health that includes several options for supportive housing services. Eviction prevention. Cannot include funding for building modification or rehabilitation. [8] e), as approved by CMS.