Jan. 1 MACs to Accept Appropriate Use Claims Modifiers
The Centers for Medicare & Medicaid Services (CMS) recently announced that Medicare Administrative Contractors (MAC) should begin, effective Jan. 1, 2020, accepting the Healthcare...
Heightened Scrutiny Review of Newly Constructed Presumptively Institutional Settings
With respect to settings under development or new construction, CMS issued guidance in 2016 that stated that CMS would only be able to determine...
CMS Proposed Regulations
Centers for Medicare and Medicaid Services (CMS) released proposed regulations earlier this week for the hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs​)...
CMS Final Rules for SNFs and Inpatient Psychiatric Facilities
The Centers for Medicare & Medicaid Services (CMS) issued a final rule this week updating payment rates for skilled nursing facilities and for inpatient psychiatric facilities​ for fiscal...
Program for Evaluating Payment Patterns Electronic Report
The RELI Group, along with its partners TMF Health Quality Institute and CGS, is contracted with the Centers for Medicare & Medicaid Services (CMS)...
CMS Releases Two New Rules
Centers for Medicare​ and Medicaid Services (CMS) posted two new rules on​ Tuesday​ related to Nursing Home. The first is a proposed rule on changes to...
CMS Guidance on EMTALA and Born-Alive Infant Protection Action
Centers for Medicare and Medicaid Services (CMS) recently released guidance on Emergency Medical Treatment and Labor Act (EMTALA) and the Born-Alive Infant ​Protection Act. ​EMTALA requires...
HHS Announces Formation of Quality Summit
The U.S. Department of Health and Human Services (HHS) Deputy Secretary Eric Hargan recently announced the formation of the Quality Summit (QS), which will bring together...
CMS Releases CY 2020 Home Health PPS Proposed Rule
SDAHO is currently reviewing the Centers for Medicare & Medicaid Services’ calendar year (CY) 2020 proposed rule for the home health (HH) prospective payment...
CMS Announces Voluntary Appeals Settlement Options for IRFs
The Centers for Medicare & Medicaid Services (CMS) is accepting requests from inpatient rehabilitation facilities (IRFs) to settle appeals that were filed for redetermination...
