December 10th, Senator Boozman (R-AR) introduced S.5007 the companion bill to H.R. 8702 – Holding Providers Harmless From Medicare Cuts...

CMS has published Updates to the Nursing Home Compare Website and Five Star Quality Rating System (12/4/2020 Ref: QSO21-06-NH), resuming...

From QRM’s office of Medical Review Author: Ashley Duggan, OTR, RAC-CT, Vice President of Medical Review and Clinical Compliance Per...

From CMS.gov 6/24/2020 – Beneficiary Notices Initiative: Note: Skilled nursing facilities (SNFs) issue the ABN to transfer potential...

From QRM’s office of Medical Review: Per an updated FAQ, CMS has provided notification of anticipated resumption of the medical review...

Amidst the COVID dominance in our lives, July 13, 2020, non-compliance notifications were placed into SNF’s CASPER folders in QIES based...

QRP Non-Compliance Reports Available Now - Potential Impact to 2021 Annual Payment Update (APU) Amidst the COVID dominance in our lives,...

Wednesday’s call hosted by CMS’ Alina Czekai included a panel of Industry Leaders who shared some of their critical approaches and best...

Mark Parkinson, President of AHCA recently shared that from all indications, it is too soon for CMS to determine the impact of PDPM in...

As billing is underway for January services, we thought we’d recirculate the Assistant Modifier Requirements that went into effect for...

In response to a massive advocacy campaign, CMS made the decision to delete limiting edits that were put in place 1/1/2020. As a result,...

For our long-term care residents (Medicare Part B), billing for PT, OT and ST services is submitted utilizing CPT codes delivered. On...

CMS’ Director, Division of Nursing Homes – Evan Shulman provided some clarity around the Phase 3 Requirements of Participation eff date...

Some things have drastically changed in our Medicare world while others just need a little dusting off. One of the topics we are...