CMS Chief: Prior Authorization Needed to Fight “Fraud and Abuse”

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CMS Administrator Seema Verma complained that the federal government needs more legal authority to conduct Medicare prior authorization reviews she says work well in the private sector during a speech to the America’s Health Insurance Plans 2018 National Conference on Medicare on Tuesday, October 16. Interestingly, according to a report from Inside Health Policy, Barbara […]

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NAHC Submits Recommendations on the Home Health Conditions of Participation

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On October 27, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a draft copy of the home health Conditions of Participation (HHCoPs) Interpretive Guidelines (IGs).  CMS sent the draft copy to several industry stakeholders, including the National Association for Home Care & Hospice (NAHC), requesting that comments on the draft IGs be submitted […]

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CMS Open Door Forum Summary

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Home Health Regulatory and Hospice Quality Updates take Center Stage On Wednesday, November 15, 2017, the Centers for Medicare & Medicaid (CMS) held a regular Open Door Forum to present the latest updates on home health and hospice regulatory issues. Following are summaries of issues presented: HOME HEALTH UPDATES Home Health Prospective Payment System (HH […]

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