CMS has provided an updated SNF QRP Public Reporting Tip Sheet. The SNF QRP was established under the Improving Medicare Post-Acute Care...

Why triple check Part B claims? Historically, the month-end triple check process has focused on Part A claims, incorporating a random...

CMS has released the CY 2022 Medicare Physician Fee Schedule (PFS) Final Rule on 11/2/21 (CMS-1751-F). https://www.cms.gov/newsroom/fact-...

NASL has again provided specific talking points and a prepared link to facilitate our unified voices in support of legislation that would...

As we launch into our first month-end close of FY 2022, click here to find the updated QRM/Data IQ PDPM Rate Calculator tool. Based on...

Friday, October 15, the US Department of Health and Human Services Secretary, Xavier Becerra, renewed the Public Health Emergency through...

This is an urgent call for advocacy letters from individuals and organizations requesting CMS’ reconsideration of the 15% proposed CY...

With CMS’ 8/12/21 notification of resumption of the Targeted Probe & Educate Program, providers should prepare to receive probe...

Thursday, July 29th, CMS released their FY 2022 Final Rule. A few of the highlights impacting skilled nursing facilities include:...

Thursday, July 29th, CMS released their FY 2022 Final Rule. A few of the highlights impacting skilled nursing facilities include: Payment...

5 Star, QM’s and PBJ data updates have been released. Last week, we shared that QRP’s were released for review. All are critical...

CMS has provided notifications to facilities that were determined to be out of compliance with Quality Reporting Program (QRP)...

The previously determined, January 31, 2020, public health emergency (PHE) has been extended by Secretary, Xavier Becerra, for an...

Through extensive PDPM analytics, QRM’s audit team has identified myths surrounding qualifiers for PDPM components, with a goal of...

On April 15th, the Secretary of Health and Human Services, Xavier Becerra acknowledged the ongoing COVID-19 pandemic and exercised his...

CMS Announced on April 8th, the ending of the following waivers that were initiated in response to the existing Public Health Emergency...

Depression potential as captured within the MDS PHQ9 interview has taken on significant attention under the PDPM reimbursement model. ...

Update 3/26 We have learned the CMS webinar registration for live viewing is now full - however, you can register to receive a...

As we see and hear, Medical Review activity is on the rise. To help prepare, QRM’s VP of Medical Review and Clinical Reimbursement has...

Confirming this year's Part B Fee Schedule was quite the waiting game with the last minute flurry from CMS. We have pulled together the...