As CMS reminded providers in December 2021, Medicare Fee-For-Service claims will be subject to full 2% sequestration, effective 7/1/22:...

CMS Beneficiary Notices have been a requirement for over a decade. There have been recent form changes for dual-eligible (Medicare Part A...

CMS has announced the revision of Recovery Audit Contractor (RAC) ADR limits, effective May 1, 2022. Historically, the baseline annual...

The Public Health Emergency (PHE) has been renewed for an additional 90 days. The new expiration date is set for Friday, July 15th, 2022....

On April 7th, CMS released a memorandum (QSO-22-15-NH & NLTC & LSC) ending specific COVID-19 waivers in two groups, one within 30 days...

CMS has provided a 151-day extension waiver for all Telehealth services beyond the end of the Public Health Emergency (PHE), currently...

All data for the current QRP reporting period is due no later than 11:59 pm on February 15th, 2022. We hope you find the below resources...

On January 14th, Xavier Becerra, Secretary of Health and Human Services signed an extension of the Public Health Emergency (PHE). The new...

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)...