Our team has been talking a lot this year about the pandemic and what you as a leader should know.
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CMS is issuing blanket waivers consistent with those issued for past PHE declarations. These waivers prevent gaps in access to care for beneficiaries impacted by the emergency.
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A newly created office aims to strengthen efforts across Medicare, Medicaid, the Children’s Health Insurance Program, and the Health Insurance Marketplace to decrease costs hospitals for CMS mandates.
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The impact of the COVID-19 pandemic on society has more layers than the largest onion! A new national survey led by researchers from Northeastern, Harvard, Northwestern, and Rutgers universities ...
XSOLIS and other industry leaders across the country share their insights into battling the COVID-19 pandemic. Experts provide you with tools, resources, ideas, and experiences covering all aspects of the continuum of care.
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During a recent Monitor Mondays broadcast, a listener sent a question asking about the anticipated July 24 expiration of the federal public health emergency (PHE); specifically, she wanted to know about how much to worry about it.
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While COVID-19 is not going anywhere, we are all adapting to a new normal. Recovery Audit Contractor (RAC) and Medicare Administrative Contractor (MAC) audits will soon ramp up again.
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By Seema Verma
The coronavirus has taken a devastating toll on Americans across the country, in lives lost and economic impacts...
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Researchers may have finally figured out why it’s been so difficult to tell where the coronavirus SARS-CoV-2 — which causes COVID-19 — came from within the animal kingdom.
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By Stanely Nachimson, MS
Yes, we are in a pandemic. The loss of over 100,000 lives in the US, and over 350,000 worldwide is a tragedy. The incredible economic displacement of millions more...
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Everyone is anxious for life to return to normal, but none more than those patients who had planned to have surgery in March or April, but had their surgery canceled due to the COVID-19.
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The HHS OIG unveiled a four-pronged plan to oversee the fight against COVID-19, coinciding with the agency’s acting chief providing testimony before Congress.
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ACMA’s journal, Collaborative Case Management is conducting a Q&A session with representatives from the Centers for Medicare and Medicaid Services.
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There is continued confusion on the second IFR that allows hospitals to bill for services provided by employed hospital staff who do not bill Medicare directly for their services.
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As part of the ongoing White House Task Force efforts taken in response to coronavirus disease 2019 (COVID-19), following is a summary of recent Centers for Medicare & Medicaid Services (CMS) actions.
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The COVID-19 pandemic has hit skilled nursing facilities hard. This new waiver allows hospitals that cannot find an accepting SNF in their catchment area to provide "swing bed services" in their acute-care beds, as do critical access hospitals and rural hospitals.
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A new report released on May 5, 2020 by the American Hospital Association projects that the nation’s hospitals will book $202.6 billion in losses through the end of June due to the coronavirus pandemic.
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In an unprecedented move, the Centers for Medicare & Medicaid Services (CMS) has released 15 documents specifying new waivers in response to the COVID-19 pandemic.
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CMS unveils another round of changes to provide states and localities have flexibilities needed for diagnostic testing and access to medical care for a "gradual reopening."
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RACmonitor.com reports that a federal portal has opened for reimbursement for care of any type provided to uninsured patients with COVID-19.
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After pressure from numerous provider groups, the federal government is now urging Medicare Advantage plans to forgo prior authorization requirements.
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Following regulatory changes due to COVID-19, CMS and OMHA have made temporary changes to Medicare audits and the appeals process.
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At President Trump’s direction, CMS and ASPR released a new toolkit to help state and local healthcare decision makers maximize workforce flexibilities.
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On April 19, the Centers for Medicare & Medicaid Services issued new recommendations specifically targeted to communities that are in Phase 1 of the Guidelines for Opening Up America Again.
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Beaumont Hospital, Wayne “temporarily paused” in anticipation of a “second surge” that the health system said could occur if social distancing restrictions are eased.
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The medical treatment of COVID-19 is unlike that of any other disease. The coding and billing rules are unlike those for any other disease.
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When working from home, how can you maintain your productivity, let alone your sanity? These tips detail your path to success, sanity and singular focus.
With schools out, child care unavailable, learn how to bring parenting and productivity hand in hand. We've got tips, tricks and tactics for you.
“It is critical that Americans have peace of mind knowing that cost won’t be a barrier to testing during this national public health emergency.” — CMS Administrator Seema Verma
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President Trump questions political nature of OIG report, while AHA President pleas for continued support from government and local sectors alike.
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As the American Hospital Association asks the federal government to give $100B in federal stimulus money to providers as quickly as possible, hospitals are having to cut staff, salaries and benefits...
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A summary of some of the regulatory waivers and new rules to equip the American healthcare system with maximum flexibility to respond to the 2019 Novel Coronavirus (COVID-19) pandemic.
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On March 30, CMS unveiled several broad but temporary changes that provide new flexibilities for hospitals, physicians and other healthcare organizations during the COVID-19 pandemic.
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All provisions of 42 CFR 482.30 are waived. You may suspend your UR plan and not hold UR Committee meetings. You do not need to review admissions or continued stays. Your doctors can change a Medicare inpatient...
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CMS is waiving the requirement at Section 1812(f) of the Social Security Act for a 3-day prior hospitalization for coverage of a skilled nursing facility (SNF) stay provides temporary emergency coverage of SNF services..
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