Strengthening Oversight of Accreditation Organizations 

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A recently proposed rule would set forth several provisions to strengthen oversight of accrediting organizations (AOs) by the Centers for Medicare & Medicaid Services (CMS). In this proposed rule CMS also solicits comments from stakeholders and AOs to refine and revise the AO oversight standards and processes. In addition, this proposed rule includes a request […]

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Next CMS Open Door Forum is Thursday

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The next Home Health, Hospice & DME Open Door Forum is scheduled for Thursday, February 22, 2024, PM at 3:30 PM- 4:30 PM Eastern Time (ET). Please log on at least 15 minutes prior to the forum start time. **This Agenda is Subject to Change** Chair – Brian Slater, Center for Medicare, CMS Co-Chair- Kelly […]

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Post-Acute Care Quality Reporting Programs: Expanded HHVBP

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Expanded HHVBP Model Performance Feedback Reports January 2024 Interim Performance Reports (IPRs) are Available on iQIES The January Preliminary Interim Performance Reports (IPRs) for the expanded HHVBP Model have been published on the Internet Quality Improvement Evaluation System (iQIES).  The quarterly IPRs provide HHAs with the cohort assignment, performance year measure data for the 12 […]

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Reminder: Providers Must Submit OSHA Injury & Illness Reports

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Health care providers must submit injury and illness reports to the Occupational Safety & Health Administration (OSHA), according to a final rule that became effective on January 1, 2024. The rule amended its occupational injury and illness recordkeeping regulation to require certain employers to electronically submit injury and illness information to OSHA that employers are […]

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PEPPER Distribution Paused

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The Centers for Medicare & Medicaid Services (CMS) has announced a temporary pause in the distribution of the PEPPER (Program for Evaluating Payment Patterns Electronic Report) and CBRs (Comparative Billing Reports) through the fall of 2024. This announcement was posted on the PEPPER website after the site unexpectedly went down in the final months of 2023.  The […]

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Provider Enrollment Changes in Medicare

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Numerous provider enrollment changes were finalized for implementation in 2024 and a new Centers for Medicare & Medicaid (CMS)-855A was implemented last year. The changes impact providers when newly enrolling, while maintaining enrollment, and at the time of revalidation.  Providers that are Medicare-certified but serve only Medicaid and non-Medicare recipients are also impacted. Revisions encompass everything […]

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HHS Issues New Nondiscrimination Final Rule to Protect Conscience Rights

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The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) announced a Final Rule, entitled Safeguarding the Rights of Conscience as Protected by Federal Statutes. Several provisions of Federal law protect the conscience rights of certain federally funded health care entities and prohibit recipients of certain Federal funds from requiring individuals and […]

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Next CMS Open Door Forum is Tomorrow!

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The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, January 10, 2024, PM at 2:00 PM-3:00 PM Eastern Time (ET). Please log on at least 15 minutes prior to the forum start time. **This Agenda is Subject to Change** Chair – Brian Slater, Center for Medicare, CMS Co-Chair- Kelly Vontran, […]

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Draft OASIS-E1 Instrument Now Available

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The Centers for Medicare & Medicaid Services (CMS) recently posted the draft OASIS-E1 All Items instrument, scheduled for an effective date of January 1, 2025. The accompanying OASIS-E1 Manual will be released at a later date. An Office of Management and Budget (OMB) number and the information collection timeframe estimate are yet to be assigned.  The […]

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CMS Releases Data on American Rescue Plan Spending

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On December 12, 2023, the Centers for Medicare and Medicaid Services (CMS) released information on how State Medicaid Agencies have used the enhanced funding for home and community-based services (HCBS) provided by the American Rescue Plan Act (ARPA). According to the CMS data: The full dataset is available online at: https://www.medicaid.gov/sites/default/files/2023-12/arp-sec9817-overview-infographic_0.pdf.

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CMS Releases FY2024 Mission & Priorities Document

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The Fiscal Year (FY) 2024 Mission and Priorities Document (MPD) developed by the Centers for Medicare & Medicaid Services’ (CMS) Quality, Safety & Oversight Group (QSOG) and Survey & Operations Group (SOG) was recently posted. The mission is to assure basic levels of quality and safety for all patients, residents and clients receiving care from […]

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New Waived Tests

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Listed below are the latest tests approved by the Food and Drug Administration (FDA) as waived tests under CLIA (Clinical Laboratory Improvement Amendments of 1988). The CPT code, effective date and description for the latest tests approved by the FDA as waived tests under CLIA are as follows (most are drug tests):  Some home health […]

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