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Displaying records 1 to 20 out of 3268 results for "Medicaid Risk Adjustment".
( Page 1 of 164 )
SORT RESULTS BY: RELEVANCY | PUBLICATION DATE
The Centers for Medicare & Medicaid Services (CMS) posted the second annual release of the ho
Risk adjustment is central to pay for performance, whereby high-quality cost effective care can b
OCTOBER 28, 2015
JUSTCODING
When residents assist during brain or spine surgery, the risk of complication or death does not i
JULY 10, 2015
When residents assist during brain or spine surgery, the risk of complication or death does not
  SNFs and the Medicaid conundrum
The Centers for Medicare & Medicaid Services (CMS), issued the Q4 of FY2016 PEPPER report. Th
  Accounting for Medicare A coinsurance from Medicaid or Managed Medicaid bad debt
AUGUST 2, 2017
  Expediting the Medicaid application process
AUGUST 25, 2017
  Medicaid: The SNF 800 lb. Gorilla
SEPTEMBER 1, 2017
  Medicaid EHR Q&A
DECEMBER 22, 2017
The Centers for Medicare and Medicaid Services (CMS) and Office of the National Coordinator for H
On July 20, 2016, the Centers for Medicare & Medicaid Services (CMS) will convene a panel of
  Centers for Medicare & Medicaid Services Special Open Door Forum
SEPTEMBER 2, 2016
  CMS promises targeted Medicaid audits, stricter enforcement
  Providers worry that proposed rule could cut Medicaid revenue
NOVEMBER 9, 2018
CMS finalizes emergency preparedness of Medicare/Medicaid-certified facilities
CMS finalizes shorter risk period for overpayments The Centers f
The Centers for Medicare & Medicaid Services (CMS) is proposing new regulations that implemen
  CMS examines inappropriate guiding of people eligible for Medicare or Medicaid into Marketpla
AUGUST 19, 2016
  CMS makes several Medicaid announcements, including new audits and requirement for budget neu
AUGUST 24, 2018
  Trump administration's proposed rule aims to penalize legal immigrants for using Medicaid
OCTOBER 12, 2018
The Centers for Medicare & Medicaid Services (CMS) has updated the lists of HCPCS codes that
The Centers for Medicare & Medicaid Services has released its final rule on Medicaid.  
NOVEMBER 13, 2015
On August 18, 2016, The Centers for Medicare & Medicaid Services (CMS) issued a request for
AUGUST 19, 2016
The Centers for Medicare & Medicaid Services (CMS) has issued a Request for Information (RFI)
In 2012, Oregon’s Medicaid system was overrun with problems. Four years prior, the state wa
MARCH 25, 2015
Hospitals have 60 days to fix ligature risks In December, CMS unveiled a new definition
APRIL 1, 2018
When the Centers for Medicare & Medicaid Ser-vices’ (CMS) new Patient Driven Payment Mo
JANUARY 11, 2019
  Medicaid patients who visit the emergency department (ED) are seeking treatment
AUGUST 14, 2014
The Centers for Medicare & Medicaid Services (CMS) announced a six-month extension of a state
I'm trying to notify Medicare and Medicaid that we are going to start servicing a neighbo
If you’re a Medicare or Medicaid provider, the Centers for Medicare & Medicaid Services
Medicare and Medicaid spending will grow at a slower rate than past predictions indicated,
Authorities have arrested a man, Wellington Liranzo, on charges of Medicaid provider fraud
OCTOBER 23, 2014
Nearly 700 rural hospitals are at risk of closure, according to a
Is it likely CMS will make any adjustments to the list of acceptable primary diagnosis co
The Centers for Medicare & Medicaid Services (CMS) has released its final PPS Rule for 2017 a
Home health and hospice providers urged CMS to consider permanent adjustments to relax telehealth
The SNF value-based purchasing (VBP) program began adjusting Medicare payments a little over a ye
FEBRUARY 7, 2020
The idea of reducing the risk of litigation through person-centered care is the idea that meeting
DECEMBER 18, 2020
The Centers for Medicare & Medicaid Services (CMS) is 
Generally, for Medicaid Advantage, the documentation is that the face-to-face date needs to be on
  Reducing the risk of work-related injuries
  Modern Healthcare Risk Management
OCTOBER 9, 2015
What are the home health CMS & the Medicare/Medicaid Policy for PTA supervision by a
The growth of managed care continues to grow due to the Medicaid expansion under the Affordable C
OCTOBER 24, 2014
As Medicare and Medicaid celebrate their 50th anniversary protecting the health and well-b
AUGUST 7, 2015
This measure is also a risk-adjusted measure, and it is derived from the following answers on the
Q: Does the CARES Act apply to both Medicare and Medicaid payors? A: Th
The American Nurses Association (ANA) weighed in last week on the potential cuts to Medicaid and
JUNE 29, 2017
This free tool will provide your staff with guidelines to evaluate patients and assess their risk
APRIL 26, 2018
  Reducing the risk of litigation and negative survey outcomes by creating realistic expectatio
DECEMBER 11, 2015
  Medicare billing: A common compliance risk area
APRIL 15, 2016
  SNFs: Strategies to mitigate readmission and rehospitalization risk
  Reduce your audit risk: How to analyze the UB-04
NOVEMBER 17, 2017
  Counting patient steps predicts readmissions risk
DECEMBER 14, 2017
 Per the New York State Office of the Medicaid Inspector General (OMIG) Audit Protoc
Implement operating rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment
Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance
In early March, the Centers for Medicare and Medicaid Services (CMS) updated Appendix Q, Guidance
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
Nine Massachusetts agencies that provide home health services to patient on Medicaid have
The Centers for Medicare & Medicaid Services announced during an Open Door Forum on Thursday
FEBRUARY 20, 2015
Centers for Medicare & Medicaid Services (CMS) Acting Principal Deputy Administrator P
The Centers for Medicare & Medicaid Services (CMS) has begun a three-year pilot project to i
JANUARY 8, 2016
The Centers for Medicare & Medicaid Services (CMS) and America’s Health Insurance Plans
FEBRUARY 19, 2016
The Centers for Medicare & Medicaid Services (CMS) released the Next Steps Toolkit to help y
APRIL 22, 2016
On May 3, 2016, the Centers for Medicare & Medicaid Services (CMS) announced a final rule (
To help you improve your use of ICD-10 codes, the Centers for Medicare & Medicaid Services (
The Centers for Medicare & Medicaid Services (CMS) will soon launch a series of updates for
The Centers for Medicare & Medicaid Services (CMS) has released its final PPS Rule for 2017
We are a Medicare/Medicaid certified agency. We currently have a client who is homebound
The government should adjust Medicare payment policies to better support the type of
SEPTEMBER 3, 2014
JUSTCODING
  SNF therapy contracts: Your risks and what you need to know Q&A
  Compliance and the UB-04: How to identify risk areas and analyze provider information
AUGUST 21, 2015
  These 7 readmission risks could prevent you from receiving SNF VBP incentive payments
NOVEMBER 2, 2018
A new CMS memo creates a definition of a ligature risk, a time frame for correcting them, and int
DECEMBER 19, 2017
Overview On May 1, 2014, the Centers for Medicare & Medicaid Serv
The Centers for Medicare & Medicaid Services (CMS) today issued final regulations for the Med
The Centers for Medicare & Medicaid Services released an updated version of the Minimum Data
SEPTEMBER 19, 2014
To help dispel some of the myths surrounding ICD-10, the Centers for Medicare & Medicaid Serv
APRIL 24, 2015
The Centers for Medicare & Medicaid Services (CMS) released final Medicare Advantage (MA) and
APRIL 17, 2015
On April 16, 2015, the Centers for Medicare & Medicaid Services (CMS) introduced star
APRIL 17, 2015
The Centers for Medicare & Medicaid Services (CMS) is proposing to expand for HIV scre
FEBRUARY 6, 2015
The Centers for Medicare and Medicaid (CMS) has fined 12 Medicare Advantage plans nearly $4 milli
APRIL 21, 2015
On August 25, 2015, The Centers for Medicare & Medicaid Services issued 2014 quality a
AUGUST 28, 2015
Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum on
OCTOBER 9, 2015
The Centers for Medicare & Medicaid Services (CMS) have shared the revised survey tools used
DECEMBER 11, 2015
On July 28, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a notice updatin
On August 10, 2016, the Centers for Medicare & Medicaid Services (CMS) updated the popular N
AUGUST 12, 2016
On August 9, the Centers for Medicare & Medicaid Services (CMS) released a new analysis demo
AUGUST 12, 2016
This week, the Centers for Medicare & Medicaid Services (CMS) issues Transmittal 3591. It p
The Centers for Medicare & Medicaid Services (CMS) has issued an updated version of the Hospi
The Centers for Medicare & Medicaid Services (CMS) has announced that the pre-claim review de
Hospitals are continually working to reduce the risk of patient suicide in their facilities, but
OCTOBER 26, 2017
Long-term care providers who obstruct audits soon could have their Medicare and Medicaid c
APRIL 9, 2014
JUSTCODING
Get back to basics and pinpoint what risk analysis, assessment, and management tr
Changes in Medicare and Medicaid reimbursements, healthcare reform, and market competition are al
OCTOBER 24, 2011
Payment adjustment for FY 2014 extended On June 16, CMS pos
  To fully understand where your organization's risks lie, you not only need to ha
Patients with high-risk behaviors pose a danger to healthcare staff and other patients and are di
DECEMBER 17, 2015
On the heels of the 49th anniversary of the signing of Medicare and Medicaid into
The new memo creates a definition of a ligature risk, a time frame for correcting them, interim g
DECEMBER 14, 2017
The Centers for Medicare & Medicaid Services (CMS) has announced the 2014 Part B premiu
NOVEMBER 22, 2013
The Centers for Medicare & Medicaid Services (CMS) has issued guidance effective immediately
JUNE 10, 2014
Today, the Centers for Medicare & Medicaid Services (CMS) announced two initiatives to
OCTOBER 9, 2014
Since the creation of the Medicare and Medicaid programs in 1965, the public has provided tens o
On April 23, 2015, the Centers for Medicare & Medicaid Services (CMS) issued a propose
APRIL 24, 2015
Centers for Medicare & Medicaid Services (CMS) announces through its acting administra
On July 8, 2015, the Centers for Medicare & Medicaid Services (CMS) update included pr
On July 13, 2015, the Centers for Medicare & Medicaid Services (CMS) announced a propo
OCTOBER 7, 2015
JUSTCODING
On September 21, 2015, the Centers for Medicare & Medicaid Services (CMS) announced
SEPTEMBER 25, 2015
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
The Centers for Medicare & Medicaid Services (CMS) has released new "G" codes that
On March 8th, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule t
MARCH 11, 2016
On March 9th, the Centers for Medicare & Medicaid Services (CMS) released a public data set t
MARCH 18, 2016
On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule
APRIL 22, 2016
The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule this week that would
APRIL 21, 2016
On April 14, 2016, the Centers for Medicare & Medicaid Services (CMS)  announced its la
APRIL 15, 2016
On April 27, the Centers for Medicare & Medicaid Services (CMS) added six new quality measur
APRIL 29, 2016
On June 6, 2016 the Centers for Medicare & Medicaid Services (CMS) released a final rule imp
On August 4th, the Centers for Medicare & Medicaid Services (CMS) announced the participants
AUGUST 5, 2016
On December 8, The Centers for Medicare & Medicaid Services (CMS) hosted a special open door
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 &
The Centers for Medicare & Medicaid Services (CMS) announced on a January 19 call that they a
Compliance with the Conditions of Participation (CoP) is required to meet Medicare and Medicaid
FEBRUARY 28, 2017
A new scoring system can help organizations spot patients at high risk for respiratory problems a
AUGUST 25, 2015
by A.J. Plunkett (aplunkett@decisionhealth.com) Widespread ligature risk
DECEMBER 7, 2019
As if adjusting to a new culture isn’t difficult enough, foreign medical graduates (FMG) mu
MAY 30, 2014
Because there will be no adjustments in the HHRG after the RAP is sent, the reporting of therapy
Delaware, Kentucky, and Ohio had the the highest adjusted rates for all disciplinary actions take
 Because there will be no adjustments in the HHRG after the RAP is sent, the reporting of th
Additional extension of the payment adjustment for FY 2014 extended  
Additional extension of the payment adjustment for FY 2014  
Patients with high-risk behaviors pose a danger to healthcare staff and other patients and are di
MARCH 10, 2016
Looking to spot risks factors for mental illness or suicide? A new report shows that these proble
A Leapfrog Group report found that hospitals need to improve high-risk surgery patient outcomes.
MARCH 17, 2015
The idea behind hand hygiene compliance efforts is to reduce the risk of infection in healthcare
FEBRUARY 17, 2015
A former employee at a Colorado hospital may have put thousands of patients at risk of disease af
FEBRUARY 25, 2016
Patients with high-risk behaviors pose a danger to healthcare staff and other patients and are di
FEBRUARY 18, 2016
“All residents appear to be at risk for sleep impairment and its effects on performance, an
JUNE 8, 2018
Thorough risk assessments and clear plans to mitigate danger to patients will be critical to sati
FEBRUARY 1, 2018
Earlier this week, I received a question regarding the need to do a risk assessment that would al
OCTOBER 13, 2016
Wishing you could weigh in on The Joint Commission’s expectations about suicide risk? You h
MARCH 29, 2018
Wishing you could weigh in on The Joint Commission’s expectations about suicide risk? You h
MARCH 27, 2018
A new risk model provides a simple and inexpensive way to determine whether acute myocardial infa
By John Commins Centers for Medicare & Medicaid Services Admi
MARCH 5, 2020
You note that your claims-based is good, but risk-adjusted is not. And you wonder why they are so
Risk Reduction Strategies Editor's Note:
FEBRUARY 15, 2016
by A.J. Plunkett (aplunkett@decisionhealth.com) Widespread ligature risk
JANUARY 12, 2020
Looking for a better way to gauge readmission risk? University of Texas (UT) researchers say they
In August, the Centers for Medicare & Medicaid Services (CMS)
NOVEMBER 22, 2013
The Centers for Medicare & Medicaid Services should openly urge Congress to change the way th
SEPTEMBER 11, 2014
  The Centers for Medicaid and Medicare Services (CMS) issued a draft rule late Fr
APRIL 14, 2015
On November 4, 2015, The Centers for Medicare & Medicaid Services (CMS) announced that it has
NOVEMBER 6, 2015
The Centers of Medicare & Medicaid Services (CMS) has released a new public data set, the Hom
The Centers for Medicare & Medicaid Services (CMS), under CR 8441, states the following:
The Centers for Medicare & Medicaid Services (CMS) has issues a Change Request (CR) 9497. The
In an effort to reduce patient harm and readmissions, the Centers for Medicare and Medicaid Servi
The Centers for Medicare & Medicaid Services (CMS) released a memorandum on October 21, 2016,
Each year, home health aides must meet the Centers for Medicare & Medicaid Services’ (C
The Centers for Medicare & Medicaid Services (CMS) posted a series of Frequently Asked Questi
The Centers for Medicare & Medicaid Services (CMS) has released a memorandum to the state sur
1. It is the role of home health aides to look for risk factors that could contr
It is commonly accepted that residents and fellows are at risk for burnout. To help prevent it, t
MARCH 15, 2019
CMS and Joint Commission are cracking down on potential ligature and self-harm risks A
NOVEMBER 1, 2017
Medicare’s hospice payments, adjusted for inflation and other factors, would rise an estima
You note that the importance of OASIS-D item M1033 (Risk for hospitalization) increases even more
A new set of tools was released last week to help protect patients from safety risks caused by he
APRIL 12, 2018
Be able to show a thorough risk assessment along with a plan for intervention if surveyors questi
MAY 1, 2018
SNF therapy contracts: Your risks and what you need to know
Hospitals face many challenges in regard to active shooter risk such as providing care to victim
JANUARY 5, 2017
The greatest risk of patients acquiring a C. diff infection didn’t come, surprisingly, when
JULY 12, 2018
It’s the role of home health aides to look for risk factors that could contribute to a fall
Risk: The record does not contain a legible signature with credential
DECEMBER 29, 2015
By Jennifer Thew, RN Nurses, both male and female, are at a higher risk of suicide
FEBRUARY 12, 2020
On November 5, the Centers for Medicare & Medicaid Services (CMS) released corrections
NOVEMBER 15, 2013
On November 16, 2015, the Centers for Medicare & Medicaid Services (CMS) issued the final rul
The Centers for Medicare & Medicaid Services (CMS) has issued a
The Center for Medicare and Medicaid Service (CMS) released a new core measure that mandates evi
FEBRUARY 2, 2017
The Centers for Medicare & Medicaid Services (CMS) have released new home health Conditions o
The Centers for Medicare and Medicaid Services (CMS) has given Detroit Medical Center’s (DM
APRIL 2, 2019
It's time for your organization to begin its risk assessment—do you know where your PHI is?
In a new blog post, The Joint Commission (TJC) clarified its new ligature risk requirements rega
DECEMBER 5, 2019
by Josh Poltilove Adjustments to Medicare’s home health payments under the
MARCH 9, 2017
SEPTEMBER 3, 2014
JUSTCODING
CMS finalizes Medicaid face to face rule CMS has issued a final rule re
After a long period of anticipation, it looks as though CMS will incorporate ligature risk recomm
NOVEMBER 1, 2018
By Scott Mace, HealthLeaders Media With cybersecurity risks on th
MARCH 18, 2021
Some words of advice about conducting risk assessments at your facility Editor&rsqu
SEPTEMBER 28, 2017
In a new HealthLeaders Media report, Population Health: Investing in a Risk-Based Future
OCTOBER 30, 2015
Due to possible health risks, the U.S. Food and Drug Administration (FDA) recently proposed a ban
MARCH 24, 2016
While I have little doubt that we will yet again revisit the management of ligature risks and beh
MAY 16, 2019
“When you are unfamiliar with a topic being discussed on rounds, take the risk and ask abou
APRIL 20, 2018
While organizations should focus on performing regular risk assessments and analyses, there are a
Q: Our non-employed radiology group is being evaluated by its insurer from a risk and saf
In a new blog post, The Joint Commission (TJC) clarified its new ligature risk requirements regar
DECEMBER 12, 2019
The Centers for Medicare and Medicaid Services (CMS) has taken another step toward ensuring tha
NOVEMBER 13, 2015
On Friday, April 27, 2018, the Centers for Medicare & Medicaid Services (CMS) published a hig
Suicide prevention and ligature risk was a major topic at The Joint Commission (TJC)’s 2019
One of our nurses asked us what her legal risks are if something goes wrong when caring f
 A good water management plan begins with your facilities management team and a solid risk a
NOVEMBER 1, 2018
A good water management plan begins with your facilities management team and a solid risk assessm
NOVEMBER 1, 2018
A good water management plan begins with your facilities management team and a solid risk assessm
A good water management plan begins with your facilities management team and a solid risk assessm
by A.J. Plunkett (aplunkett@decisionhealth.com) Beyond ligature risk, th
DECEMBER 7, 2019
by A.J. Plunkett (aplunkett@decisionhealth.com) Beyond ligature risk, th
JANUARY 19, 2020
Q: How big of a problem is patient violence from high-risk patients?
APRIL 21, 2016
Q: How big of a problem is patient violence from high-risk patients?
APRIL 14, 2016
DECEMBER 16, 2015
In the never-ending pursuit of the effective management of risks associated with healthcare-acqui
APRIL 20, 2017