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SORT RESULTS BY: RELEVANCY | PUBLICATION DATE
  Introducing Medicare Compliance Watch and Medicare Insider Daily!
SEPTEMBER 22, 2015
  Product Spotlight: Medicare Compliance Watch
SEPTEMBER 22, 2015
  Medicare Compliance Forum-Take advantage of throwback pricing!
SEPTEMBER 29, 2015
  Medicare billing: A common compliance risk area
APRIL 15, 2016
  New Medicare Compliance and Ethics Program Requirements
MLN Matters released the January 2015 edition of the Medicare Quarterly Provider Complia
The 2015 Medicare Compliance Forum pairs leading Medicare experts with practicing provider
  Bolster billing compliance: Implement a Medicare Part A triple-check process
We have exciting news for our Medicare Insider customers. Starting next week, we’ll be offe
SEPTEMBER 15, 2015
The 2015 Medicare Compliance Forum features a robust line-up of topics and speakers to address th
The 2015 Medicare Compliance Forum features a robust line-up of topics and speakers to address th
The 2015 Medicare Compliance Forum is the only seminar that will teach you how to respond to the
Join October 27–28 in Charleston, South Carolina, for the 2015 Medicare Compliance Forum. T
The 2015 Medicare Compliance Forum is the only seminar that will teach you how to respond to the
Join October 27–28 in Charleston, South Carolina, for the 2015 Medicare Compliance Forum. T
  Change is right around the corner, so attend the 2015 Medicare Compliance Forum
The 2015 Medicare Compliance Forum features a robust line-up of topics and speakers to address th
To ensure hospitals are up to date on important Medicare regulatory issues in light of increased
JULY 13, 2011
One Week until Medicare Compliance Forum-Here are the Top Reasons Why You Should Attend
  The 2014 Medicare Compliance Forum, on October 23 and 24, is the only seminar th
OCTOBER 8, 2014
JUSTCODING
The 2014 Medicare Compliance Forum is the only seminar that will teach you how to respond
Ethics and compliance: Sample training program outline Ethics and
DECEMBER 1, 2019
Physician practices are under increasing financial pressure, and Medicare accounts for a large po
Physician practices are under increasing financial pressure, and Medicare accounts for a large po
Physician practices are under increasing financial pressure, and Medicare accounts for a large po
DECEMBER 27, 2016
Physician practices are under increasing financial pressure, and Medicare accounts for a large po
DECEMBER 13, 2016
Physician practices are under increasing financial pressure, and Medicare accounts for a large po
Physician practices are under increasing financial pressure, and Medicare accounts for a large po
Provider-Based Entities: A Guide to Regulatory and Billing Compliance is a compr
Provider-Based Entities: A Guide to Regulatory and Billing Compliance is a comprehensive
Provider-Based Entities: A Guide to Regulatory and Billing Compliance is a comprehensive
On Wednesday, October 12, 2016, CMS posted Transmittal 273, regarding Medicare Regulatio
Medicare Trustees Report shows continued slow cost growth On July 22, C
Medicare Trustees Report shows continued slow cost growth On July 22, CM
Trustees’ report shows Medicare solvent to 2030  
Medicare Boot Camp—Rural Health Clinic Version is a one-day intensive course on Medicare co
Medicare Boot Camp—Rural Health Clinic Version is a one-day intensive course on Medicare co
On September 21, CMS released a fact sheet stating Medicare Advantage and Part D will continue to
We are a Medicare/Medicaid certified agency. We currently have a client who is homebound
Physician practices are under increasing financial pressure, and Medicare accounts for a large po
OIG posts Medicare Compliance Review of Saint Luke's Hospital On Augus
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
  Don’t leave money on the table! Master Medicare rules for reimbursement
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
  Don’t leave money on the table! Master Medicare rules for reimbursement
Physician practices are under increasing financial pressure, and Medicare accounts for a l
Physician practices are under increasing financial pressure, and Medicare accounts for a large po
Thank you for your question and commitment to compliance. Application of the transdermal patch is
The following excerpt comes from Scompliance-et
SEPTEMBER 26, 2019
Medicare Boot Camp®—Utilization Review Version  
Provider-Based Entities: A Guide to Regulatory and Billing Compliance is a comprehensive
Provider-Based Entities: A Guide to Regulatory and Billing Compliance is a comprehensive
Physician practices are under increasing financial pressure, and Medicare accounts for a l
For calendar years (CYs) 2012 and 2013, Medicare overpaid Nebraska Methodist Hospital in Omaha mo
Blogs from industry experts in healthcare that keep users up-to-date on the latest happenings in their fields.
Medicare Boot Camp®—Utilization Review Version  
Due to popular demand, we’ve added another Medicare Boot Camp®
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
Medicare Boot Camp®—Utilization Review Version
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
CMS released Medicare-Learning-Network-MLN/ML
Medicare Boot Camp®—Utilization Review Version
The top five reasons to attend the 2014 Medicare Compliance Forum The 2
Recovery Auditors have identified numerous potential duplicate claims from Medicare Part B provid
OCTOBER 14, 2015
JUSTCODING
  Providers expected October 1, 2015, to be the new ICD-10 compliance date and CMS
A review of Medicare CT scan claims from July 2011 to June 2012 found that 16% claims had
APRIL 30, 2014
JUSTCODING
Recovery Auditors found that 16% of Medicare CT scan claims from July 2011 to June 2012 ha
The 2014 Medicare Compliance Forum (October 23–24) is the only seminar that will tea
Physician Practice Perspectives is filled with Medicare news, coding an
The controversy around Medicare's Recovery Audit Contractor program continues; a judge has ruled
SEPTEMBER 4, 2014
On November 24, the OIG posted a report stating that Medicare Part B and its beneficiaries paid $
DECEMBER 15, 2015
Combining Medicare Boot Camp®—Physician Services Version and Evaluation & Managemen
Combining Medicare Boot Camp®—Physician Services Version and Evaluation & Managemen
The Medicare Boot Camp—Provider-Based Departments Version provides educati
The Medicare Boot Camp—Provider-Based Departments Version provides educati
July update to the calendar year (CY) 2014 Medicare Physician Fee Schedule Database
Join us October 26 in Charleston, South Carolina, at the 2015 Medicare Compliance Forum Revenue I
In a recent frequently asked questions (FAQ) document released by the Centers for Medicare &
Medicare Boot Camp®—Utilization Review Version
Medicare Boot Camp—Utilization Review Version is an i
  Traditional Medicare vs. Medicare Advantage Q&A
FEBRUARY 24, 2017
Medicare Compliance Review of Saint Luke's Hospital of Chesterfield for 2011 and 2012
Medicare Compliance Review of Saint Luke's Hospital of Chesterfield for 2011 and 2012
Third quarter 2015 notice of new interest rate for Medicare overpayments and underpayments pos
  Skilled nursing facility compliance audit
AUGUST 26, 2016
The 2014 Medicare Compliance Forum (October 23–24) is the only seminar that will tea
The 2014 Medicare Compliance Forum (October 23–24) is the only seminar that will tea
The Centers for Medicare & Medicaid Services (CMS) posted a series of Frequently Asked Questi
Quarterly ASP Medicare Part B drug pricing files released On April 25,
CMS posts July update to Medicare Physician Fee Schedule Database On June 6, CMS rel
  The week in Medicare updates
  This week in Medicare updates
SEPTEMBER 22, 2015
  The week in Medicare updates
With Medicare reimbursements becoming increasingly linked to patient safety issues, healthcare le
FEBRUARY 11, 2016
Compliance with the Conditions of Participation (CoP) is required to meet Medicare and Medicaid
FEBRUARY 28, 2017
CMS updates Medicare Claims Processing Manual to provide language-only changes f
Inpatient hospital claims and Medicare Secondary Payer (MSP) claims with Medicare Coins
Each year CMS revises its Medicare-Learning-N
JANUARY 30, 2018
Clinical laboratory fee schedule–Medicare travel allowance fees for collection of
One day after an apparent stealth announcement of the new ICD-10 compliance date, CMS confirmed O
CMS revises Medicare systems to accurately process inpatient hospital claims, MSP claims
ICD-10-related updates made to the Medicare Claims Processing Manual
CMS updates interest rate for Medicare overpayments and underpayment 
Beginning January 1, 2015, Medicare began to pay separately under the Medicare Physician Fee Sche
DECEMBER 13, 2016
  ICD-10 Compliance: Converting to a new diagnosis coding system
  ICD-10 Compliance: Converting to a new diagnosis coding system
  ICD-10 Compliance: Considering the impact of GEMs
AUGUST 7, 2015
  Best Practices for Ongoing Consolidated Billing Compliance
OCTOBER 16, 2015
  10 last-minute tips for PBJ compliance
  Care plans: How they affect compliance and reimbursement across the entire facility
OCTOBER 21, 2016
  Spice up your corporate compliance and ethics program with PEPPER
  Care plans: How they affect compliance and reimbursement across the entire facility
MARCH 23, 2018
  Compliance tip: The relationship between the assessment and the claim
  What should your policy for coding compliance and ethics include?
  Consolidated billing stage-specific strategies for compliance
  CMS seeks billing specialists to participate in provider compliance focus group
SEPTEMBER 28, 2018
  Achieve accurate reimbursement and compliance with these best practices
NOVEMBER 9, 2018
  New member resource for your compliance & ethics program
DECEMBER 7, 2018
Pushback led federal officials to relax testing compliance deadlines If you haven&rsquo
SEPTEMBER 14, 2017
CMS announced proposed changes to the Medicare long-term care requirements that would reform &ldq
SEPTEMBER 6, 2019
  CMS invites Medicare Part A providers to learn new Medicare Cost Report e-filing system
OCTOBER 5, 2018
Bolster billing compliance: Implement a Medicare Part A triple-check process
AUGUST 1, 2015
  Medicare Review: Ways to evaluate claims
OCTOBER 2, 2015
  Medicare's open enrollment period
NOVEMBER 18, 2016
  Avoiding Medicare fraudulent billing
JANUARY 27, 2017
  Medicare Managed Care Appeals & Grievances
  New Medicare cards are out
SEPTEMBER 22, 2017
  New Medicare Card Rollout
  Medicare to pay more for DME services
  Documentation terminology that will not support the Medicare claim
  New Medicare card mailing update
  Medicare is the secondary payer: Now what?
  New Medicare card update
SEPTEMBER 21, 2018
  October CY 2015 quarterly update to the Medicare physician fee schedule datab
Notice of new interest rate for Medicare overpayments and underpayment
  Notice of new interest rate for Medicare overpayments and underpayment
By John Commins Centers for Medicare & Medicaid Services Admi
MARCH 5, 2020
Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) Fi
February 10, 2003-Marblehead, MA-HCPro, Inc., the leader in healthcare compliance, regulation, and m
FEBRUARY 10, 2003
CMS releases July 2014 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files
The OIG has taken aim at improper home health Medicare billing in its 2017 Work Plan, which is ba
On June 2, CMS issued a new Medicare/Provider-Enrollment-and-Certifi
If you’re a Medicare or Medicaid provider, the Centers for Medicare & Medicaid Services
When a patient joins a Medicare Advantage (MA) plan, he or she takes on a subscriber number, but
With the Government Accountability Office’s designation of Medicare as a high-risk program
Q: We have a patient that meets Medicare eligibility for home health services, remains ho
http://www.medicarecompliancewatch.com/news-analysis/week-medicare-updates-9302015 
SEPTEMBER 3, 2014
JUSTCODING
  Medicare Shared Systems modifications necessary to capture various HIPAA comp
Medicare Shared Systems modifications necessary to capture various HIPAA-compliant fields
By John Commins (jcommins@healthleadersmedia.com) Centers for Medicare &
APRIL 19, 2020
Update to Medicare Claims Processing Manualto provide language-only changes for updatin
On August 25, 2015, The Centers for Medicare & Medicaid Services issued 2014 quality a
AUGUST 28, 2015
  Note from the Instructor: Overview of the four parts of Medicare, Part I
SEPTEMBER 22, 2015
  Ending Medicare Part A Skilled Services
NOVEMBER 20, 2015
  How does a payment ban impact Medicare SNF coverage?
JANUARY 15, 2016
  More oversight is required to prevent fraud and abuse of Medicare
  Fine-tune the fundamentals: Medicare eligibility for SNF services
MARCH 24, 2016
  Medicare Part A admissions: Best practices for your facility
APRIL 22, 2016
  Proposed fiscal year 2017 payment and policy changes for Medicare announced
APRIL 22, 2016
  GAO finds Medicare appeals backlog not decreasing fast enough
  Medicare makes enhancements to the Shared Savings Program
  Centers for Medicare & Medicaid Services Special Open Door Forum
SEPTEMBER 2, 2016
  Medicare Advantage premiums remain stable in 2017
SEPTEMBER 23, 2016
  Medicare Advantage Value-Based Insurance Design Model refined
OCTOBER 7, 2016
  CMS Finalizes the New Medicare Quality Payment Program
OCTOBER 28, 2016
  CMS is updating the Medicare drug spending dashboard
DECEMBER 29, 2016
  Navigating Medicare Advantage: MAOs and Protecting Reimbursement in Long-Term Care
FEBRUARY 24, 2017
  Avoid common errors that lead to Medicare denials
  How to make the most of your Medicare Review
AUGUST 8, 2017
  New Medicare Card Project Special Open Door Forum
JANUARY 19, 2018
  CMS proposes Medicare Advantage and Part D payment and policy updates
FEBRUARY 2, 2018
  Updated 2018 Medicare Part B physician fee schedule in effect
MARCH 16, 2018
  Five essential resources for navigating the Medicare appeals process
MARCH 16, 2018
  Billers instructed to review CMS updates to Medicare policy manuals
MARCH 23, 2018
  Look out for new Medicare cards in the mail
  CMS raises Medicare Advantage pay rates by 3.4% for 2019
  Scrutinizing Medicare coverage for physical, occupational and speech therapy
APRIL 13, 2018
  Q&A: Post-Medicare audit processes
  Should traditional Medicare cover chronic care?
  Medicare's prior authorization program may continue under GAO recommendation
  New Medicare cards: What's that square code?
  CMS seeks public comment on new proposed Medicare application process
  Claims for Medicare Diabetes Prevention Program services being denied
  Flowcharts to help you with the Medicare appeals process
  Medicare physician fee schedule: What's changing for 2019?
  CMS to present an overview of the Medicare Secondary Payer Recovery Portal
AUGUST 3, 2018
  Key documentation criteria for supporting the Medicare claim
SEPTEMBER 21, 2018
  CMS releases 2019 Medicare Parts A&B premiums and deductibles
OCTOBER 19, 2018
  Your Medicare Advantage plan may be inappropriately denying payments
OCTOBER 5, 2018
  Frequently asked questions about Medicare Part B
NOVEMBER 30, 2018
  Compliance and the UB-04: How to identify risk areas and analyze provider information
AUGUST 21, 2015
  ICD-10 Compliance: ICD-10 Implementation date is just around the corner!
SEPTEMBER 11, 2015
    Why having a robust compliance and ethics program will boost your botto
JANUARY 19, 2017
  SNFs found to be out of compliance with QRP requirements will receive letter from CMS
CMS releases the Medicare fee-for-service 2013 improper payments report
FEBRUARY 1, 2015
Update to Medicare Claims Processing Manual, Chapters 12, 20, 32, and 35 to prov
If you haven’t seen the OIG report “Medicare Compliance Review of University of Cinc
  The CMS EHR Incentive Program 2014 attestation deadlines for Medicare-eligible h
medicare-updates-%E2%80%93-100
by Jan Milliman You’ve created a compliance program, but are you getting t
As Medicare and Medicaid celebrate their 50th anniversary protecting the health and well-b
AUGUST 7, 2015
The government shutdown began at midnight Jan. 20. But HHS’ website indicates the Medicare
The Center for Medicare and Medicaid Service (CMS) released a new core measure that mandates evi
FEBRUARY 2, 2017
Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) Fi
The use of “Observation Status” – treating certain hospitalized Medicare patien
AUGUST 21, 2014
Medicare’s Pre-Claim Review Demonstration (PCR) rollout has been anything but smooth, with
HCPro is seeking feedback on your rural health clinic billing and compliance training needs. Plea
  The Medicare Meeting: How to ensure proper communication during a resident's Part A stay
NOVEMBER 13, 2015
  Medicare Makes Enhancements to the Shared Savings Program to Strengthen Incentives for Qualit
  Care Plans and Medicare Payments: Why care plans must move toward functionality
  CMS examines inappropriate guiding of people eligible for Medicare or Medicaid into Marketpla
AUGUST 19, 2016
  Dementia Care Added to Medicare Advantage Value-Based Insurance Design Model
DECEMBER 22, 2016
  Bill introduced to add dental, hearing, and vision services under Medicare coverage
FEBRUARY 1, 2017
  Obstructing audits could lead to Medicare exclusion for long-term care facilities
MARCH 17, 2017
  Medicare fraud and improper payments remain black stain under President Trump's microscope
APRIL 14, 2017
  Improvements to the Medicare Claims Appeal Process and Statistical Sampling MLN Connects Call
  New Medicare cards offer greater protection to more than 57 million Americans
  CMS using MEDCAC’s recommendations for health outcomes in the Medicare population
  Medicare proposes changes to payment rates and quality programs for SNFs in FY18
  Accounting for Medicare A coinsurance from Medicaid or Managed Medicaid bad debt
AUGUST 2, 2017
  SNF ABNs: Avoiding common errors that lead to Medicare Part A denials
AUGUST 16, 2017
  MedPAC comments on CMS’s proposed rule on Medicare Part C and Part D
JANUARY 5, 2018
  New Medicare card project special open door forum March 20
MARCH 16, 2018
  CMS says this is number one reason for Medicare denials, publishes provider tips
MARCH 23, 2018
  CMS call to clarify qualified Medicare beneficiary (QMB) program billing requirements
  Update to Medicare Claims Processing Manual, Chapter 23, Section 60.3
SEPTEMBER 21, 2018
  Combing patient records for additional diagnosis codes reaps massive returns for Medicare Adv
SEPTEMBER 7, 2018
Q: Does an unstageable on spine qualify someone under Medicare A for a SNF?
SEPTEMBER 19, 2014
Check out the new dates for HCPro’s Medicare Boot Camps, and choose the one that's b
Check out the new dates for a Medicare Boot Camp. Choose the one that's best for you.
A new Department of Health and Human Services report shows that Medicare spending for each indivi
 This week’s updates include a new ACO dialysis model, new Medicare utilization and pa
On September 1, CMS published MLN Matters 9815 to supplement CMS Medicare Financial Management Tr
SEPTEMBER 18, 2017
This week’s updates include the beginning of Medicare Open Enrollment; January 2016 qua
CMS doesn't require Medicare Advantage plans to have a face-to-face document for home health. Bu
Adding modifiers to CPT® codes can bypass NCCI edits for Medicare payments,
JUNE 25, 2014
JUSTCODING
  Don't miss our quarterly webinar on Wednesday, April 18! Spice Up Your Compliance Program wit
  As a Medicare-certified homecare agency, I historically hired aides that
The Centers for Medicare & Medicaid Services (CMS) today issued final regulations for the Med
The Centers for Medicare & Medicaid Services (CMS) released final Medicare Advantage (MA) and
APRIL 17, 2015
Q: If a stroke patient uses 100 Medicare days in a skilled nur
FEBRUARY 13, 2015
On July 28, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a notice updatin
On August 18, 2016, The Centers for Medicare & Medicaid Services (CMS) issued a request for
AUGUST 19, 2016
Long-term care providers will be able to appeal certain Medicare claims decisions without
On September 21, 2015, the Centers for Medicare & Medicaid Services (CMS) announced
SEPTEMBER 25, 2015
On March 8th, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule t
MARCH 11, 2016
On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule
APRIL 22, 2016
On June 6, 2016 the Centers for Medicare & Medicaid Services (CMS) released a final rule imp
Medicare Boot Camp®—Rural Health Clinic Version is a one-day intensive course on Medica
The Medicare Access and CHIP Reauthorization Act of 2015 requires CMS to remove social security n
by Josh Poltilove Adjustments to Medicare’s home health payments under the
The following is expert advice from medicare-audits-surviva
AUGUST 24, 2018
Editor's note: This month's "Compliance conundrum" column is by J'non Griffin
Medicare regulations are constantly evolving. Get updates on all areas of the Medicare process an
SEPTEMBER 4, 2014
CMS has reversed its stance requiring Medicare Advantage (MA) plans to apply Medicare fee-for-ser
  The Long-Term Care Regulatory Compliance Boot Camp is an
SEPTEMBER 25, 2014
Long-Term Care Regulatory Compliance Boot Camp The Long-Term Care R
SEPTEMBER 19, 2014
The Long-Term Care Regulatory Compliance Boot Camp is an intensive four-day co
OCTOBER 17, 2014
When Congress passed the Protecting Access to Medicare Act of 2014, it mandated at least a
MAY 7, 2014
JUSTCODING
APRIL 9, 2014
JUSTCODING
Teaching and training plays a significant role in homecare and is addressed in the Medicare B
Medicare recently announced the creation of a new accountable care payment model, which asks prov
  In a report produced jointly by the Medicare Payment Advisory Commission and the
JANUARY 30, 2015
Q: When does Medicare consider a wound as chronic/nonhealing and no longer
An estimated 30% of Medicare payments are now tied to alternative payment models that reward the
AM0150 would be answered “2”—Medicare (HMO/managed care/Advantage plan).
On June 15, the Medicare Payment Advisory Commission (MedPAC) releases its June 2016 Report to t
Q:    If a beneficiary changes from one Medicare Advantage plan to another,
APRIL 25, 2014
Overview On May 1, 2014, the Centers for Medicare & Medicaid Serv
On April 28, 2015, The Senate Finance Committee held a hearing about the Medicare appeal p
The Centers for Medicare and Medicaid (CMS) has fined 12 Medicare Advantage plans nearly $4 milli
APRIL 21, 2015
Medicare doesn’t differentiate between skilled and unskilled personal care because there is
CMS pushed back the deadline for physicians to enroll to prescribe Medicare Part D drugs. Physici
We are seeking a Medicare Regulatory Specialist for HCPro-BLR Healthcare to teach our Medicare B
The Centers for Medicare & Medicaid Services (CMS) announced a six-month extension of a state
Congratulations to Penka Dringova, CPC, CPMA, CCC, CEMC, CGIC, CGSC, CIMC, compliance anal
AUGUST 6, 2014
JUSTCODING
The Long-Term Care Regulatory Compliance Boot Camp is an intensive four-day course that wi
SEPTEMBER 11, 2014
The Long-Term Care Regulatory Compliance Boot Camp is an intensive four-d
OCTOBER 3, 2014
The Long-Term Care Regulatory Compliance Boot Camp is an intensive four-d
OCTOBER 9, 2014
The Long-Term Care Regulatory Compliance Boot Camp is an intensive four-d
OCTOBER 24, 2014
The Long-Term Care Regulatory Compliance Boot Camp is an intensive four-d
NOVEMBER 7, 2014
The Long-Term Care Regulatory Compliance Boot Camp is an intensive four-d
OCTOBER 31, 2014
On the heels of the 49th anniversary of the signing of Medicare and Medicaid into
Medicare regulations are constantly evolving. Get updates on all areas of the Medicare pro
APRIL 24, 2015
Medicare regulations are constantly evolving. Get updates on all areas of the Medicare pro
APRIL 17, 2015
  Medicare regulations are constantly evolving. Get updates on all areas of the Me
MARCH 27, 2015
  Medicare regulations are constantly evolving. Get updates on all areas of the Me
MARCH 20, 2015
  Medicare regulations are constantly evolving. Get updates on all areas of the Me
MARCH 13, 2015
  Medicare regulations are constantly evolving. Get updates on all areas of the Me
Medicare regulations are constantly evolving. Get updates on all areas of the Medicare pro
If you’ve ever wondered how Medicare reimburses hospitals and pays physicians, new data fro
The Centers for Medicare & Medicaid Services (CMS) has announced the 2014 Part B premiu
NOVEMBER 22, 2013
Q: If a beneficiary changes from one Medicare Advantage plan to another-do they automatica
MARCH 21, 2014
Propublica, dissecting data released by Medicare on payments made to health professionals in 201
A record number of hospitals were fined by Medicare for having too many 30-day readmissions, acco
OCTOBER 7, 2014
Today, the Centers for Medicare & Medicaid Services (CMS) announced two initiatives to
OCTOBER 9, 2014
On April 23, 2015, the Centers for Medicare & Medicaid Services (CMS) issued a propose
APRIL 24, 2015
According to a recent report to Congress, OIG estimates that Medicare could have saved bil
MARCH 20, 2015
An unlicensed physician has been convicted for his role in a scheme to bill Medicare for h
FEBRUARY 12, 2015
In its first two years, Medicare’s Pioneer ACOs reported savings of $384 million, and pati
Centers for Medicare & Medicaid Services (CMS) announces through its acting administra
Earlier in July, CMS sent a letter out to Medicare providers. The letter was sent as a rem
You won’t find any mention in the Medicare coverage criteria about chronic or nonhealing wo
On November 3, 2015, the Centers for Medicare & Medicaid Services (CMS) released an interac
NOVEMBER 6, 2015
A new analysis by the Centers for Medicare and Medicaid Services has found only 40 medications re
JANUARY 12, 2016
This week, Medicare officials announced the creation of 121 new accountable care organizations (
JANUARY 14, 2016
On August 4th, the Centers for Medicare & Medicaid Services (CMS) announced the participants
AUGUST 5, 2016
President's FY 2016 Budget Includes Medicare Provisions On F
Join us at 1 p.m. (Eastern) Tuesday, July 29, as HIPAA compliance experts Margret Amatayakul,
Anesthesia providers have low hand hygiene compliance rates, according to a new study by research
Medicare Advantage Q&A with Diane Brown QWe have chro
FEBRUARY 1, 2015
Q: Is the Medicare episode payment expected to cover ostomy supplies for urinary ost
The value modifier (VM) is Medicare’s physician pay-for-performance program that rewards or
In February a federal judge accepted Medicare’s plans to better educate the public about in
  Is your facility located in the New England area? Medicare Insider staff
HCPro's Medicare Boot Camp®–Long-Term Care Version cover
HCPro's Medicare Boot Camp®–Long-Term Care Version cover
Starting in October, 2,592 hospitals will receive lower payments for Medicare patients due to pen
AUGUST 6, 2015
On July 20, 2016, the Centers for Medicare & Medicaid Services (CMS) will convene a panel of
On August 9, the Centers for Medicare & Medicaid Services (CMS) released a new analysis demo
AUGUST 12, 2016
The Centers for Medicare & Medicaid Services (CMS) has issued an updated version of the Hospi
Medicare may verify that the provider claims (physician office claims) contain the appropriate bi
On September 18, CMS published revised MLN Matters 9815, which accompanies Medicare Financial Man
I'm trying to notify Medicare and Medicaid that we are going to start servicing a neighbo
The Centers for Medicare & Medicaid Services (CMS) is proposing new regulations that implemen
Q: Is there a way to convince management that Security Rule compliance is just as importa
If the results from your next survey include more life safety compliance issues than you’re
APRIL 13, 2017
Joint Commission focuses on CAUTI compliance Revised NPSG ai
JANUARY 16, 2017
Nearly one in five Medicare patients fall prey to medically related injuries unrelated to their u
Medicare and Medicaid spending will grow at a slower rate than past predictions indicated,
According to a recent report to Congress, OIG estimates that Medicare could have saved bil
MARCH 13, 2015
If a patient switches from traditional Medicare to MA, the agency will receive a partial episode
Medicare-Learning-Network-MLN/MLNMattersArtic
As part of ongoing efforts to raise awareness about the upcoming change to Medicare numbers and c
Yes. All info has to start over again. from Medicare Administrative Contractor (MAC) CGS: “
You ask: How can I decrease the number of clinician missed visits? How do Medicare surveyors trea
What are the home health CMS & the Medicare/Medicaid Policy for PTA supervision by a
Federal officials announced an accelerated effort to use payment reform to shift Medicare and the
On May 3, 2016, the Centers for Medicare & Medicaid Services (CMS) announced a final rule (
The Medicare Payment Advisory Commission (MedPAC) has submitted a vote that recommends an additio
The Centers for Medicare & Medicaid Services (CMS), issued the Q4 of FY2016 PEPPER report. Th
Long-term care providers who obstruct audits soon could have their Medicare and Medicaid c
Many covered entities leave money on the table by neglecting to appeal denied Medicare claims. Re
Many covered entities leave money on the table by neglecting to appeal denied Medicare claims. Re
According to a medicare-coverage-database/details/nca-decision-memo.a
FEBRUARY 20, 2015
The Centers of Medicare & Medicaid Services (CMS) has released a new public data set, the Hom
CMS underpaid Medicare Advantage plans for the cost of treating patients with multiple chronic co
HIPAA training isn’t a one-time effort. To be in compliance, all new staff require HIPAA or
Do you have questions about physician practice coding, reimbursement, safety, EHRs, compliance, H
Greetings one and all from high above the 2012 Life Safety Code (LSC) compliance track w
JUNE 16, 2016
With Medicare spending projected to grow to $1.4 trillion by 2027, the federal government is look
SEPTEMBER 4, 2017
MARCH 11, 2015
JUSTCODING
When will the Medicare trust funds run out? That depends on who you talk to. According to
APRIL 27, 2018
   The Long-Term Care Regulatory Compliance Boot Camp is an intensive
MARCH 28, 2014
Late last month, the Joint Commission released data on the top compliance pain points of 2014 amo
On June 2, CMS issued Medicare/Provider-Enrollment-and-Certification
AUGUST 1, 2017
How stable is the Medicare Advantage program? On July 24, th
OCTOBER 1, 2014
CMS releases July update to Medicare Physician Fee Schedule database 
Medicare officials continue to cite an “improvement standard” as a reason for
OCTOBER 31, 2014
In an effort to prevent medical identity theft, new Medicare cards will not list the Social Secur
Changes in Medicare and Medicaid reimbursements, healthcare reform, and market competition are al
OCTOBER 24, 2011
The ABN (CMS-R-131) is a written notice that the agency must provide to a PPS Medicare-eligible b
Since 1997, venipuncture has not been a qualifying service for Medicare coverage. However, once
Months after NAHC had sued Medicare regarding the face-to-face requirement under the Affordable
On March 9th, the Centers for Medicare & Medicaid Services (CMS) released a public data set t
MARCH 18, 2016
On April 27, the Centers for Medicare & Medicaid Services (CMS) added six new quality measur
APRIL 29, 2016
CMS has updated pages of the Hospice Item Set Manual V2.00 as a result of the federal Medicare ag
CMS issues correction to the April 2015 update to the Medicare Physician Fee Schedule D
The Centers for Medicare & Medicaid Services (CMS) has issued a
Medicare and commercial accountable care organization (ACO) models are not created alike.
FEBRUARY 21, 2017
Statistical sampling initiative The Office of Medicare Hearings and Appeals (OMHA) w
Q: I work in ambulance billing. I know that under Original Medicare, many non-emergen
MARCH 27, 2015
July 2015 quarterly Average Sales Price (ASP) Medicare Part B drug pricing files and revi
  On Thursday, CMS released a final rule updating the Medicare Shared Savings Prog
ave added several circumstances that identify Medicare as a secondary payer (MSP). This means Med
This week, the Centers for Medicare & Medicaid Services (CMS) issues Transmittal 3591. It p
During the Medicare Payment Advisory Commission’s (MedPAC) public meeting on Thursday, Marc
“[Medicare for All policies would] surely jeopardize the relationship people have with the
APRIL 17, 2019
MARCH 9, 2017
Despite gains in compliance and security potentially linked to industry emphasis on the HI
Do you have questions about physician practice coding, reimbursement, safety, EHRs, compliance, H
Medicare myths Editor's note: This article is excerpted f
AUGUST 1, 2015
By improving compliance with the sepsis three-hour bundle, Dartmouth-Hitchcock Medical Center red
MARCH 20, 2015
The release earlier this month of secret Medicare Advantage audits CMS conducted on several major
The Medicare appeals process has become a logjam The Medicar
AUGUST 1, 2014
The 21% "negative update" in Medicare reimbursement for physicians mandated by the Sust
Medicare’s Value-Based Purchasing ties reimbursement to quality measures, assessing criteri
Medicare is lowering all its payments to 758 hospitals by 1% over the course of the federal fisca
DECEMBER 14, 2015
HHS says the new payment system for Medicare clinicians provides flexible options that encourage
Capping Medicare GME funding at $150,000 per resident could free nearly $1.3 billion that could b
OCTOBER 9, 2019
Statistical sampling initiative for claims begins The Office of Medicar
Correction to April 2015 quarterly update to Medicare Physician Fee Schedule Database (MPFSD
Correction to the April CY 2015 quarterly update to the Medicare Physician Fee Schedule
The medicare/medicare-fee-for-service-payment/physicianfeedbackprogr
Clarification to Pub. 100-02, Medicare Benefit Policy Manual Regarding Antigens
OIG acting deputy inspector general testifies about Medicare mismanagement
CMS releases July 2015 quarterly Medicare Part B drug pricing files and revisions&n
Clarification to Medicare Benefit Policy Manual regarding antigens and deletion of Sect
CMS announces final regulatory changes affecting Medicare Parts C and D
AUGUST 1, 2014
July 2015 quarterly Average Sales Price (ASP) Medicare Part B drug pricing files and re
Statistical sampling initiative The Office of Medicare Hearings and App
Clarifications made to the Medicare Benefit Policy Manual and Medicare Progra
 Earlier this month, the Medicare Payment Advisory Commission (MedPAC) released the
Safe rooms for suicidal patients compliance-guide-joi
FEBRUARY 23, 2016
Does your compliance calendar run on a one- or three-year schedule to match when you expect surve
SEPTEMBER 1, 2019
by Roy Edroso A sweeping new Medicare enrollment final rule with comment period
You already know that you need to be in compliance with the Life Safety Code(R)
MARCH 17, 2016
The Office for Civil Rights (OCR) compliance-
High compliance rates linked to lower incidences, while CDC pledges $67 million to help h
FEBRUARY 9, 2017
Physician evaluation and management (E/M) payments cost Medicare $32.3 billion in 2010—abou
Safety net hospitals—those with a Medicare Disproportionate Share patient percentage in the
  In an effort to reduce the backlog of Medicare clai
SEPTEMBER 4, 2014
Certain Accountable Care Organizations would be able to send Medicare beneficiaries to a s
OCTOBER 3, 2014
The CMS last week rolled out a new star rating system on medicare.gov/hospita
APRIL 21, 2015
On July 8, 2015, the Centers for Medicare & Medicaid Services (CMS) update included pr
On October 6, 2015, the Centers for Medicare & Medicaid Services (CMS) and Office of t
OCTOBER 9, 2015
On October 29, 2015, the Centers for Medicare & Medicaid Services (CMS) proposed to revise
OCTOBER 30, 2015
The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule this week that would
APRIL 21, 2016
The OASIS-C2 item stet is now available on the OMedicare/Quality-Ini
Since 2014, the Centers for Medicare & Medicaid Services has asked hospices to use the standa
The Centers for Medicare & Medicaid Services (CMS) announced Phase 2 of their initiative to &