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Displaying records 1 to 20 out of 1844 results for "3day rule".
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Q: How do you bill for a patient that is admitted after a 3 day hospital stay that
  SNF final rule: Prepare for PDPM
SEPTEMBER 14, 2018
Q: If a patient has a 3 day qualifying stay and an order for a skilled nursing facili
Q: The resident is on their Part A benefit and is scheduled for dialysis 3 day
Q:  How do you bill for a patient that is admitted after a 3 day hospital stay
  Proposed rules, OIG reports, and bundling, oh my!
SEPTEMBER 11, 2015
  Proposed Rule Q&A with Reginald Hislop III
OCTOBER 23, 2015
  Finalized rules for shared savings ACOs place greater emphasis on quality
NOVEMBER 20, 2015
  New CMS rule contains changes to binding arbitration clauses
SEPTEMBER 30, 2016
  CMS updates Conditions of Participation in Final Rule
NOVEMBER 4, 2016
  Excerpts from the final rule: What's changing?
NOVEMBER 11, 2016
  Advancing care coordination through episode payment models final rule
FEBRUARY 10, 2017
  New tax rule could save SNFs thousands annually
APRIL 27, 2018
  Proposed payment rule PDPM: What SNFs need to know
  Providers worry that proposed rule could cut Medicaid revenue
NOVEMBER 9, 2018
The Joint Commission recently approved the 2016 accreditation and certification decision rules fo
OCTOBER 6, 2015
The Centers for Medicare & Medicaid Services has released its final rule on Medicaid.  
NOVEMBER 13, 2015
Long-anticipated rule change will affect how hospitals plan for emergencies and disasters
DECEMBER 22, 2016
The 2016 OPPS proposed rule is likely to continue CMS' trend of expanded packaging and fea
  CMS pushes SNFs toward payment reform in FY 2016 PPS final rule
SEPTEMBER 4, 2015
  Proposed Rule Q&A with Reginald Hislop III, Managing Partner and CEO of H2 Healthcare, LLC
SEPTEMBER 4, 2015
The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule this week that would
APRIL 21, 2016
  SNF PPS final rule for 2017 brings increased rate but new challenges
OCTOBER 7, 2016
  CMS Issues Proposed Rule to Increase Patients' Health Insurance Choices for 2018
FEBRUARY 16, 2017
  RCS-1 CMS case-mix pre-rule: Get ready for big changes
  MedPAC comments on CMS’s proposed rule on Medicare Part C and Part D
JANUARY 5, 2018
  SNF PPS final rule published, new payment model to begin October 1, 2019
AUGUST 3, 2018
  10 things you need to know about CMS? final SNF PPS rule, and PDPM
AUGUST 31, 2018
  CMS publishes corrections to RUG-IV federal per diem rates & MDS item in SNF PPS final rule
OCTOBER 5, 2018
  Trump administration's proposed rule aims to penalize legal immigrants for using Medicaid
OCTOBER 12, 2018
  CMS final rule makes changes to how physicians are paid, delays E/M coding reform
NOVEMBER 2, 2018
CMS is considering waiving the three-day hospital stay rule, required before a patient can be re
JANUARY 29, 2016
Due to a proposed change to the two-midnight rule, CMS has further delayed enforcement o
AUGUST 14, 2015
The 126th State District Court in Austin, Texas, has ruled that Texas Medical Board (TMB) Rule 1
On May 23, 2014, there was a new federal rule issued that requires physicians, including p
CMS finalized proposed changes to the 2-midnight rule in its 2016 OPPS final rule.
NOVEMBER 17, 2015
While CMS’ new payment rule bundling hip and knee replacement surgeries may have sparked so
DECEMBER 15, 2015
It’s finally here. CMS’ new Emergency Preparedness rule goes into effect on W
NOVEMBER 16, 2017
The Department of Labor (DOL) recently decided to appeal a ruling that effectively ended changes
It’s finally here. CMS’ new Emergency Preparedness rule goes into effect on W
NOVEMBER 14, 2017
Providers anticipated an update to the 2-midnight rule in the 2016 IPPS final rule release
The 2-midnight rule may get a little tweak if the proposals in
A new set of claims transaction rules has been approved by CAQH Committee on Operating Rules for
CMS’ 2014 IPPS Final Rule redefined the criteria for inpatient admission when it implemente
An Iowa Board of Medicine administrative rule banning abortion through a teleconferencing system
This course explains the HIPAA privacy and security rules that are relevant to business associa
On November 16, CMS issued the final rule for bundled payment demonstration (lower extremity) ef
DECEMBER 4, 2015
The Illinois Supreme Court ruled that information collected under the Health Care Professional C
FEBRUARY 24, 2016
By Steven Andrews   Most policies in the OPPS final rule are not e
By Steven Andrews   Small tweaks to the 2-midnight rule in the 201
CMS should have addressed the 2-midnight rule, but didn’t in the fiscal year 2016 IPPS prop
A proposed rule (CMS-5524-P) released by CMS on August 15, 2017 would make the Comprehensive Care
The CMS last week issued a rule designed to save $660 million annually and $3.2 billion over five
A provision in CMS’ new rule to modify or eliminate unnecessary regulations will ease requ
CMS yesterday announced a proposed rule on the adoption of the 2012 editions of the Life Safet
APRIL 15, 2014
According to the Federal Register, CMS is proposing a rule that would update the payment rates us
APRIL 24, 2015
OCTOBER 7, 2015
JUSTCODING
The Department of Labor’s (DOL) final rule, issued this week, increases minimum salary req
The Centers for Medicare & Medicaid Services (CMS) has released its final PPS Rule for 2017
Provider-based clinics and departments are increasingly common at hospitals, but the rules for pr
A significant portion of updates in the Fiscal Year 2015 IPPS final rule pertain to the Hospital
CMS continues the expansion of pay-for-performance (P4P) programs in the 2015 IPPS final rule. By
The 2015 OPPS proposed rule introduced Comprehensive APCs and more packaging that could im
In case you haven’t heard, OSHA has been rather quietly avoiding implementing a rule that t
AUGUST 6, 2014
The 2016 OPPS final rule includes the first negative payment update for the system, but CMS also
CMS finalized its proposals regarding the 2-midnight rule, including moving responsibility for ru
What potential impact does the final rule on overpayments have on home health agencies? F
The Substance Abuse and Mental Health Services Administration (SAMSHA) released a final rule upda
There's a lot going on in CMS' proposed rule for year two of the quality payment program (QPP), s
After last year's OPPS proposed rule debacle, which included a later-than-usual release, d
The 2015 OPPS proposed rule introduces Comprehensive APCs and more packaging that will impact you
The 2015 OPPS proposed rule introduces Comprehensive APCs and more packaging that will impact you
The 2016 OPPS proposed rule released July 2 is deceptively short, but packs a punch. CMS i
Q: Is there a way to convince management that Security Rule compliance is just as importa
CMS and the Office of the National Coordinator (ONC) released final rules October 6 with the inte
Facilities have less than 20 days to fully comply with CMS’ new emergency preparedness rule
OCTOBER 26, 2017
A significant portion of updates in the Fiscal Year 2015 IPPS final rule pertain to the Ho
AUGUST 7, 2014
CMS continues the expansion of pay-for-performance (P4P) programs in the 2015 IPPS final rule. By
  The Centers for Medicaid and Medicare Services (CMS) issued a draft rule late Fr
APRIL 14, 2015
CMS and the Office of the National Coordinator (ONC) released final rules October 6 with the inte
A new proposed rule aimed at reducing readmission rates and improving patient care could bring bi
NOVEMBER 24, 2015
Use of claims data could soon expand to a host of new entities under proposed rules released
A final rule published May 11 by OSHA will require employers operating in dangerous industries, i
MAY 26, 2016
Last week, CMS published a list of proposed rule changes for
JUNE 21, 2016
A newly proposed rule by CMS would put into effect new discharge planning requirements that the a
SEPTEMBER 26, 2019
A judge recently ruled that Anthony J. Garcia, a physician accused of murdering four people conne
MAY 30, 2014
A Douglas County (Nebraska) district judge has ruled that Anthony Garcia is competent to stand tr
JANUARY 29, 2016
In its final rule about lessening health care providers’ burden, CMS estimates providers wi
A proposed rule would expand access and use of claims data and analysis,
  CMS' 2014 IPPS final rule redefined inpatient admissions when it implemented the
  On Thursday, CMS released a final rule updating the Medicare Shared Savings Prog
In a highly-anticipated move expected to significantly affect the regulatory rules that hospitals
MAY 5, 2016
In a highly-anticipated move expected to significantly affect the regulatory rules that hospitals
MAY 5, 2016
First appeared in Homecare Insider. The Department of Labor’s final rule o
MAY 26, 2016
Final Rule Released After receiving 118 comments from the public, the Cen
CMS' introduction of the 2-midnight rule in the 2014 IPPS final rule makes properly identi
  CMS recently announced a finalized rule allowing hospitals more flexibility meet
SEPTEMBER 4, 2014
The Department of Veterans Affairs (VA) recently filed a proposed rule to permit full practice au
JUNE 16, 2016
The Department of Veterans Affairs (VA) recently filed a proposed rule to permit full practice a
The site-neutral payment provision in CMS’ 2017 OPPS proposed rule could level the playing
by Kirsten Dize After four years, a proposed rule and a deadline extension, CMS
October 1, 2015, will be the new ICD-10 implementation date, according to the final rule,
AUGUST 6, 2014
JUSTCODING
Last week, CMS proposed a new rule intended to boost the success of Accountable Care Organiz
CMS issued the fiscal year (FY) 2017 IPPS proposed rule yesterday with updates to several quali
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
The 2015 IPPS final rule, released August 4, focuses on quality initiatives and includes n
  Last week, the U.S. Department of Labor (DOL) announced a proposed rule that wo
The release of the final rules for the Medicare Access and CHIP Reauthorization Act of 2015 (MACR
Crosswalk designed to help facilities stay on top of new rule Hospital safety professio
JUNE 29, 2017
As part of the changes in its recent final rule, CMS has eliminated the requirement that ambulat
CMS refined and updated its Comprehensive APC policy in the 2015 OPPS proposed rule releas
2-midnight rule draws concerns about emergency physician admitting privileges
To help reduce adverse events and readmissions, a rule proposed by CMS and published this week wo
NOVEMBER 3, 2015
On November 16, CMS posted the final rule with comment period addressing changes to the physician
On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule
APRIL 22, 2016
In a highly-anticipated move expected to significantly affect the regulatory rules that hospitals
Between background checks and the new overtime rule, some home health workers in Nebraska have sa
A jury has ruled that a Boston hospital retaliated against a Haitian-American nurse who stood up
MAY 24, 2018
CMS announced it has extended its enforcement delay of the 2-midnight rule from September 30 to J
SEPTEMBER 1, 2015
OCTOBER 21, 2015
JUSTCODING
OCTOBER 21, 2015
JUSTCODING
It appears many case managers still have a lot of questions when it comes to 2-midnight rule comp
NOVEMBER 3, 2015
Although the final rule contained several notable changes to the proposed VBP pilot set to launch
On May 3, 2016, the Centers for Medicare & Medicaid Services (CMS) announced a final rule (
In the new proposed home health PPS rule, CMS states agencies providing a larger percentage of ov
Blogs from industry experts in healthcare that keep users up-to-date on the latest happenings in their fields.
When CMS releases rules, the length can be intimidating. But even at a relatively slim 700
The Minnesota Supreme Court ruled earlier this month that a medical staff can sue its hospital b
CMS CoPs New final rule refines and redefines medical staff
AUGUST 1, 2014
Proposed CMS quality measure reporting requirements detailed in the 2016 prospective payment rule
JUNE 23, 2015
The Federal Communications Commission (FCC) recently issued a new rule allowing unlicensed device
AUGUST 11, 2015
The Federal Communications Commission (FCC) recently issued a new rule allowing unlicensed device
AUGUST 12, 2015
We recently talked a little about a new proposed rule that CMS published in the November 3
DECEMBER 1, 2015
On January 28, CMS posted a fact sheet regarding a proposed rule that would update the methodolog
Waiting for the final rule? Here’s a checklist to prepare
After much anticipation, CMS approved last year its own emergency preparedness rules separate fro
JUNE 7, 2018
The 2019 proposed PPS rule references this concern in several areas. CMS recognizes there are severa
CMS solidifies a fix to the COT OMRA policy in 2015 final rule
NOVEMBER 1, 2014
The Centers for Medicare & Medicaid Services (CMS) has released its final PPS Rule for 2017 a
CMS finalized its proposals regarding the 2-midnight rule, including moving responsibility for ru
DECEMBER 9, 2015
JUSTCODING
Under the proposed rule hospitals would have to make their 'real, negotiated prices known to pat
AUGUST 1, 2019
CMS 2015 SNF PPS final rule to increase payments to skilled nursing facilities
OCTOBER 1, 2014
The latest rules proposed this spring for the electronic health records (EHR) incentive programs
Long-anticipated rule change will affect how hospitals plan for emergencies and disasters
DECEMBER 22, 2016
Under the rule, an “overpayment” means any funds that a “person” has rece
SEPTEMBER 6, 2016
  The HITECH Act, which included changes to the HIPAA Privacy and Security Rules,
New communication ruling for home health and hospices takes effect
For many, this is the time of year when the latest updated rules, regulations, and payment rates
  Q:  What are the rules regarding a qualifying hospital stay at a hos
DECEMBER 12, 2014
JUNE 17, 2015
JUSTCODING
AUGUST 12, 2015
JUSTCODING
CMS offers five solutions to help address inadequate HIPAA Security Rule–requ
This table, taken from the 2020 PPS proposed rule, includes the proposed, estimated 30-day, budge
    The 2016 OPPS proposed rule released July 2 is deceptively short
AUGUST 19, 2015
JUSTCODING
The implementation of comprehensive APCs (C-APCs) in the 2015 OPPS final rule likely wasn'
The implementation of comprehensive APCs (C-APCs) in the 2015 OPPS final rule likely wasn'
The U.S. Supreme Court yesterday ruled that the North Carolina state dental board does not have t
The policies that CMS publishes each year in the OPPS proposed rule don't always come as a
On April 15, CMS posted a proposed rule in the Federal Register that would change the Medicare an
Although Home Health Care News is reporting that the overtime rule that would require agencies to
On October 15, 2015, the Department of Labor upheld a federal ruling stating that more than 2 mil
The FDA in December issued a final rule on the safety and effectiveness of active ingredients in
The FDA in December issued a final rule on the safety and effectiveness of active ingredients in
MAY 1, 2018
CMS’ recently released 2015 IPPS final rule focuses on quality initiatives mandated by the
Clarify the date-of-service rules you follow for reporting common services and you’ll overc
SEPTEMBER 18, 2017
CMS issued its final rule, Fiscal Year 2020 Payment and Policy changes for Medicare Skilled Nursi
NOVEMBER 15, 2019
Final PPS rule: OASIS   by Kirsten Dize Many items will be el
October 1, 2015, will be the new ICD-10 implementation date, according to the final rule, Adminis
A lot of people still have questions about the 2-midnight rule and may wonder if their chosen pra
OCTOBER 6, 2015
Homecare workers achieved a victory when the Department of Labor ruled they are entitled to overt
By Steven Andrews Despite few recent code or rule changes in recent years, coders and H
In 2011, The Joint Commission ruled that physicians and practitioners were forbidden from using t
The introduction of the Home Health Groupings Model (HHGM) into the proposed rule means preparing
CMS' introduction of the 2-midnight rule in the
JULY 16, 2014
JUSTCODING
Since January, providers have been struggling to reconcile conflicts between CMS' rules an
MAY 7, 2014
JUSTCODING
U.S. District Judge Myron Thompson ruled unconstitutional an Alabama law requiring physicians who
The controversy around Medicare's Recovery Audit Contractor program continues; a judge has ruled
SEPTEMBER 4, 2014
The U.S. Supreme Court ruled 6-3 in favor of defeating the latest challenge related to the Patien
On March 8th, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule t
MARCH 11, 2016
On June 6, 2016 the Centers for Medicare & Medicaid Services (CMS) released a final rule imp
On July 29, CMS issued a final rule (CMS-1645-F) outlining FY 2017 Medicare payment policies and
AUGUST 5, 2016
The Third Circuit Court of Appeals recently ruled that a former medical resident can sue Mercy Ca
APRIL 7, 2017
Or extend your hand? First up, as a general rule of thumb ... when CMS identifies an im
APRIL 13, 2017
According to CMS’ final rule, 35 OASIS items would be deleted or modified for 2019. NAHC be
Implement operating rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment
Under current Medicare rules, patients can only get coverage for a stay in a skilled nursing faci
NOVEMBER 24, 2015
On November 16, CMS released a final rule that bundles acute care payments for knee and hip repla
DECEMBER 8, 2015
While the 2017 OPPS proposed rule includes a variety of tweaks and augmentations to existing regu
In the final 2018 outpatient prospective payment system (OPPS) rule released by CMS, total knee a
MARCH 15, 2019
  Last Thursday, CMS issued a proposed rule that would update fiscal year (FY) 201
Correction notice to IPPS final rule On March 18, CMS and HHS issued a
CMS indicated in the 2014 OPPS Final Rule that it will implement 29 new device-dependent c
In the 2015 OPPS proposed rule narrative text, CMS tells us it is proposing to conditional
Q: We are doing some training on the 28/35 rule for Medicare. We know that (if it is medically ne
Stop scanning through endless rules and trying to interpret complex regulations—our top Med
Provider-based clinics and departments are increasingly common, but the rules for provider-base
In the wake of a CMS ruling that will make antibiotic stewardship
JUNE 28, 2016
There is no language specifically stating an NP or PA cannot give orders. Rather, the rules requi
In response to CMS’ final emergency preparedness rule issued earlier this month,
DECEMBER 1, 2017
Proposed payment rule Editor’s note: CMS released a proposed new paymen
CMS finalizes Medicaid face to face rule CMS has issued a final rule re
CMS' 2015 IPPS proposed rule, released April 30, focuses on quality measures, such as hosp
JUNE 18, 2014
JUSTCODING
  Hospice Final Rule for 2017 raises payments  
JULY 31, 2016
Hospice Final Rule for 2017 raises payments Last Friday, CMS issued a fin
There are many rules and regulations that the average safety officer must adhere to on a daily ba
There are many rules and regulations that the average safety officer must adhere to on a daily ba
JULY 1, 2019
Last week, CMS issued a proposed rule to bundle hospital payments for services related to hip and
Complicated rules surround hazardous waste disposal and healthcare facilities want to reduce volu
OCTOBER 14, 2015
Complicated rules surround hazardous waste disposal and healthcare facilities want to reduce volu
OCTOBER 13, 2015
Complicated rules surround hazardous waste disposal and healthcare facilities want to reduce volu
OCTOBER 15, 2015
Bad news if your organization is still a little shaky on 2-midnight rule compliance. Quality Impr
DECEMBER 29, 2015
In response to CMS’ final emergency preparedness rule issued earlier this month,
SEPTEMBER 26, 2017
Implementation of NACHA operating rules for healthcare electronic funds transfers
Surprise rule interpretation may force changes on some facilities In a rather surprisin
MARCH 9, 2017
CMS’ 2014 final rule clarified its position that categories of non-physician practitioners
Terms of use synopsis
SEPTEMBER 4, 2008
DECEMBER 2, 2015
JUSTCODING
In the IPPS Proposed Rule
MAY 7, 2014
JUSTCODING
With HHS' recent release of its final rule,
AUGUST 26, 2015
JUSTCODING
Physician practices are working with a new set of rules when it comes to engaging patients online
SEPTEMBER 3, 2014
JUSTCODING
Although the rules for selecting QAPI data are flexible, CMS does require that programs document
Train staff on rules about protecting patient privacy and prepare security personnel in case they
SEPTEMBER 28, 2017