creative-problem-solving-technique-become-the-problem (2)
6th Nov

Stop the Madness!

Have you ever sat back and really looked at what is going on around you?  In this case, I am referring to the work setting and things like policies and procedures or processes that folks have been doing and when

Business Balance
7th Aug

Balancing Cost and Quality

On July 9th, CMS proposed The Comprehensive Care for Joint Replacement payment model to hold hospitals accountable for the quality of care they deliver to Medicare fee-for-service beneficiaries for hip and knee replacements from surgery through recovery. These bundled payments

10th Jun

Skilled Nursing Facility Reporting Program

The Improving Medicare Post-Acute Care Transformation (IMPACT) Act, enacted on Oct. 6, 2014, directs the Secretary of Health and Human Services to “specify quality measures on which Post-Acute Care (PAC) providers are required under the applicable reporting provisions to submit

Digital Online Budget Finance Bookkeeping Office Working Concept
20th Apr

Proposed Fiscal Year 2016

Overview On April 15, 2015, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule [CMS-1622-P] outlining proposed Fiscal Year (FY) 2016 Medicare payment rates for skilled nursing facilities (SNFs). The FY 2016 proposals and other issues discussed

Business People Corporate Celebration Success Concept
20th Apr

Permanent Solution To Sustainable Growth Rate

Finally, the Senate sent a permanent Sustainable Growth Rate (SGR) solution to the president’s desk on a vote of 92 to 8. The bill, H.R. 2, will eliminate the perennial threat of providers paying for a “Doc Fix” and inject

Businessman Analyzing Document
10th Feb


All four current RAs received approval on January 16, 2015, to begin issuing ADRs to providers for manual medical review of 2014 therapy claims on a post payment basis. The CMS procedures apply to claims made by outpatient therapy facilities,

Healthcare cost concept: stethoscope and dollars background
27th Jan

And the Doc-Fix Debate Begins—Again!!

There’s only one outstanding issue left to resolve before Congress can pass a permanent “doc fix,”  how to cover the roughly $140 billion price tag.   Last year, Congress kicked the can down the road again and failed to permanently do

21st Nov

OMG—The OIG!!!

The OIG Work Plan for FY 2015 was posted on October 31, 2014 and summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to HHS programs and operations during the current fiscal year and beyond.

Businessman Writing A Letter Or Signing
17th Oct

President Obama Signs IMPACT Act

The IMPACT Act of 2014 is being likened to the Omnibus Budget Reconciliation Act of 1987 related to the impact (no pun intended) of this piece of legislation on post-acute care providers as it sets the stage for overhauling the

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