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...

Texas Quality Incentive Payment Program for Nursing Homes (QIPP) Year 5 Updates (Eff 2/1/2021): Eligibility: Roster attached for QIPP...

January 7th, Health and Human Services Secretary, Alex Azar, renewed the Public Health Emergency (PHE) related to COVID-19 through his...

1/8 In follow up to our earlier notice of the 6 new COVID related diagnosis, CMS has now completed and posted an update to the PDPM...

12/28 The president has signed the Consolidated Appropriations Act of 2021 (COVID Relief Act) mitigating, in part, the looming Part B Fee...

Effective 1/1/21, the CMS-R-131 Advanced Beneficiary Notice of Noncoverage (ABN) form will be required for the following 2 reasons: Part...