CMS Posts Hospice and Home Health Agency Ownership Information
Key Points: CMS announced in April 2023 that it is releasing, for public viewing, ownership data for more than 6,000…
CMS Proposes Regulatory Changes for Long-Term Care Facilities.
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule that would change some regulatory requirements for…
GAO Releases Report on CMS Data Deficiencies for Medicaid Personal Care Services.
The General Accountability Office (GAO) recently released a report on the Centers for Medicare and Medicaid Services’ (CMS) data deficiencies…
CMS Issues Report on 2017 Managed Care Star Ratings.
The Centers for Medicare & Medicaid Services (CMS) recently published the Part C and D Star Ratings to measure quality…
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…
New Sanction Screening Challenges for Managed Care Organizations
Pursuant to the U.S. Department of Health and Human Services (HHS) Office of Inspector General’s (OIG’s) “Compliance Program Guidance for…
CMS Proposes Update to Medicaid Managed Care Regulations.
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule updating Medicaid managed care regulations to align…
CMS Issues Medicare SNF PPS Proposed Rule for Fiscal Year 2016.
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule updating the Skilled Nursing Facility (SNF) Prospective…
Tips for a New Managed Care Compliance Officer
One of the great hurdles for someone moving into a new position is meeting the expectations of those who hired…
CMS Issues Proposed Rule Updating the Conditions of Participation for HHAs.
On October 9, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule updating home health agency (HHA)…
A Primer on CMS-Regulated Accountable Care Organizations
The Centers for Medicare & Medicaid Services (CMS) defines an Accountable Care Organization (ACO) as a group of doctors, hospitals,…
No Managed Care Organization Should Allow a Gap between Compliance Officers
Medicare Parts C & D programs require managed care organizations (MCOs) to develop and implement effective compliance programs that include having a compliance officer…