Regulatory Compliance/CMS

CMS’ PDPM May Impact Clinical Protocols

Changes to Medicare reimbursements may affect your facility’s workflow.

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DOJ tallies $57M in Medicare fraud busts in two weeks

Medicare fraud squads are closing out 2017 by catching a wide range of health service providers in the crosshairs of crime, including several cases of opioid-related fraud.

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The secret to reducing hospitalizations: APRNs

A Missouri skilled nursing program reduced unnecessary hospitalizations by nearly 50 percent by using full-time APRNs, according to a CMS report.

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FDA approves, CMS proposes coverage for extensive cancer genomic test

The FoundationOne CDx (F1CDx) is a diagnostic test that can detect gene mutations for cancer, and its potential to help patients has spurred the Centers for Medicare & Medicaid Services to pay for qualifying beneficiaries to be screened. 

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CMS puts 18-mo. hold on certain enforcements, 5-star ratings

The agency has issued a temporary moratorium on the enforcement of eight specific Phase 2 F-Tags, although the new survey process begins this week as scheduled.

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CMS adds online tool for quality measures

The web-accessible version of the CMS Measures Inventory Tool (CMIT) will make it easier for providers to track their quality measures across the care continuum.

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CMS proposes new Immediate Jeopardy policy for SNFs

The draft policy could reduce the likelihood of high civil money penalties against skilled nursing providers for immediate jeopardy deficiences that resulted in no harm or death.
 

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CMS proposes new Immediate Jeopardy policy for nursing homes

The draft policy could reduce the likelihood of high civil money penalties against skilled nursing providers for immediate jeopardy deficiences that resulted in no harm or death.
 

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Immediate jeopardy: True or false?

An immediate jeopardy deficiency can cost providers dearly in finances and reputation. But what if it’s not true? Legal expert Alan C. Horowitz discusses a recent case where the provider challenged CMS over nearly $1 million in fines—and won.

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Price resigns from HHS: Now what?

As the head of the U.S. Department of Health and Human Services steps down amid scandal over the use of travel funds, how will it affect the swirl of unsolved healthcare issues?

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