Federal Appeals Court Orders Second Look at Medicare Appeals Backlog and Addresses HHS Priorities.
The U.S. Court of Appeals for the D.C. Circuit recently overturned a 2014 district court decision regarding Medicare appeals backlogs. …
CMS Issues Final Rule on Medicaid Face-to-Face Requirements for Home Health Services.
The Centers for Medicare & Medicaid Services (CMS) recently released a final rule requiring documentation related to Medicaid coverage of…
CMS Releases First Ever Home Health Patient Experience of Care Star Ratings.
The Centers for Medicare & Medicaid Services (CMS) recently released a new patient experience rating system for home health agencies…
CMS Releases Readmission Prevention Guide for Diverse Medicare Beneficiaries.
The Centers for Medicare & Medicaid Services (CMS) Office of Minority Health (OMH) recently released a guide for hospital leaders…
OIG Issues Interim Report on National Background Check Program for Long-Term Care Employees.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued a report evaluating the National…
CMS Issues Final Rule Creating DMEPOS Prior Authorization Process.
The Centers for Medicare & Medicaid Services (CMS) recently released a final rule targeting unnecessary utilization of durable medical equipment,…
University of Washington Medicine Settles for $750 Million to Resolve Potential HIPAA Violations.
The Office of Civil Rights (OCR) settled with the University of Washington School of Medicine (UWM) for potentially violating the…
CMS Issues FY 2016 Results for Hospital-Acquired Conditions Reduction Program.
The Centers for Medicare & Medicaid Services (CMS) recently released the fiscal year (FY) 2016 results for its Hospital-Acquired Conditions…
CMS Releases Quality Data on Physician Compare and Hospital Compare Websites.
The Centers for Medicare & Medicaid Services (CMS) recently updated the quality performance data for two of its online consumer…
CMS Releases Final Rule on Stark Law, Physician Fee Schedule, and Medicare Part B Revisions.
The Centers for Medicare & Medicaid Services (CMS) recently released a final rule updating the Medicare Physician Fee Schedule (PFS)…
OIG Releases Fiscal Year 2016 Work Plan.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently released its Work Plan for fiscal…
DOJ Announces $250 Million False Claims Act Settlement for Improper Cardiac Device Implantation.
The United States Department of Justice (DOJ) announced that it reached 70 settlements with 457 hospitals to resolve alleged violations…