If asked, chances are good that you would give patient privacy a rating of high importance to you and your practice. But prioritizing privacy rules and properly complying with them are not one and the same. And there are plenty to comply with. Whether you’re More..
Patient-centered care: Recently it’s a term you’ve heard promoted widely in the healthcare field, along with “data-driven” and “real world evidence” (RWE). The Centers for Medicare & Medicaid (CMS) is catching on to the trend and updating its programs accordingly. For instance, CMS has replaced More..
The Centers for Medicare & Medicaid Services (CMS) expects your long-term care facility (LTCs) to uphold certain requirements for Medicare participation—and conducts surveys to see that you are. Though the Phase 2 of CMS’s regulatory program took effect back in November 2017, it introduced an More..
If your hospital is still struggling to comply with the final rule on Confidentiality of Substance Use Disorder Patient Records under 42 CFR Part 2, you’re certainly not alone. But don’t get lax on your compliance efforts. You could face severe penalties. Snapshot: This complicated More..
The Merit-based Incentive Payment System (MIPS) program has been around for a few years, but many clinicians and groups are still struggling with their compliance. And now you have another curveball thrown at you: The Bipartisan Budget Act of 2018 (BBA) will change several key More..
Filling out long, complicated forms is likely not a favorite task. Nevertheless, doing so is a critical part of your job if your facility treats Medicare patients. One (or, seven) of the forms you’ll see most is the set of paperwork known as CMS-855—and completing More..
You have a lot of physician compliance changes to contend with in 2019, and you can’t slack off on your vigilance to minimize audit risk and stay out of hot water with the feds. One place you can go to uncover what the feds’ target More..
Beware: The feds are raising the stakes on Emergency Medical Treatment and Labor Act (EMTALA) violations – which should have hospitals rather nervous. In fact, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently doubled EMTALA fines. Don’t get More..
Do you know what 2019 has in store for hospital Conditions of Participation (CoP) standards? Hint: A lot! There are numerous changes on the horizon—especially those that will impact your nursing services. Centers for Medicare & Medicaid Services (CMS) deficiency reports have cited Nursing Services More..
Prepare yourself for a major overhaul of the coding, billing, and payment rules for Ambulatory Surgical Centers (ASCs) under the Ambulatory Payment Classification (APC). These changes will have a significant impact on your reimbursement for medical services in each APC group. APC rules have not More..