The Centers for Medicare & Medicaid Services (CMS) has increased its surveillance activity of hospitals and updated its Conditions of Participation (CoPs) for hospitals. Do you think your hospital is ready and knows what to do if a CMS surveyor shows up at your establishment More..
Physician practices’ reimbursements are shrinking from all insurance companies, especially Medicare. Patient loads are smaller and operating costs are skyrocketing due to the present economy. Every medical practice should be looking at additional revenue opportunities with its own patient base while maximizing patient clinical outcomes. More..
The home health care industry has not seen a change in Medicare’s Conditions of Participation (CoPs) in three decades. However, in January 2017, the Centers for Medicare & Medicaid Services (CMS) finalized new standards for improving the quality of health care services for home health More..
Fracture care is a major part of orthopedic care, whether it takes place in a primary care or family practice setting, or a hospital or emergency room. It also happens to be an area where providers tend to lose a lot of money due to More..
The Department of Health and Human Services is continuing to develop its HIPAA audit program. After conducting trial audits and a second round of audits in 2016, including those of HIPAA business associates, HHS has indicated that the HIPAA audit program will become permanent. Meanwhile, More..
Observation services are one of the most challenging areas that hospitals face. Physicians must document carefully in order to justify observation services, but it’s not always easy to know what should be documented at the time patients are discharged from such services. Observation must be More..
Grievances and Complaints: What Hospitals Should Know About the CMS and Joint Commission, DNV Standards and OCR
The CMS grievance requirements are a frequent source of investigation, and CMS perennially identifies them as problem areas for hospitals. Therefore, it is important to understand why all hospitals that receive reimbursement for Medicare patients need to follow the CMS conditions of participation on grievances. More..
Standing orders and Medicare conditions of participation that relate to them are some of the most confusing compliance requirements that hospitals face. Both CMS and the Joint Commission address this tricky area, and four separate sections of the hospital CoP manual regulate the issue of More..