Remove tag cms-reporting
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HFMA 2023: The Importance of Digitizing Requests

MRO Compliance

Payer Exchange supports both providers and payers as they navigate the rising volume of medical records and clinical data needed to meet risk adjustment and other mandatory reviews and reporting. Automated chart retrieval is performed at scale, leveraging modern HL7 FHIR APIs and MRO’s Enterprise Connector.

Hospitals 130
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Nursing Home Update: CMS Unwinds Vaccine Mandate and More Regulations as Public Health Emergency End Nears

Hall Render

COVID Regulations Impacted CMS issued several interim final rules during the PHE. Interim final rules are effective for a period of three years from the date of publication if CMS does not take further action. The CMS Memo addresses details on several interim final rules after the PHE ends. COVID Testing Requirements.

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Workplace Violence: CMS Warns of Violations of Hospital Conditions of Participation

Healthcare Law Today

On November 28, 2022, the Centers for Medicare & Medicaid Services (CMS) Center for Clinical Standards and Quality issued a memorandum to State Survey Agency Directors stating that hospitals risk Condition of Participation (CoP) violations for failure to adequately respond to and prevent incidents of workplace violence. §482.15(d)(1)

Hospitals 111
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Ten California SNFs Settle with Attorney General for Quality of Care Allegations

Healthcare Compliance Blog

The March 2022 settlement resolves allegations that the SNFs failed to adequately notify and prepare residents for both transfers and discharges and misrepresented their quality of care to the public by reporting false information. The alleged over-reporting of nursing hours violated the Unfair Competition Law and False Advertising Law.

Nurses 59
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BREAKING NEWS: CMS TO ENFORCE SNF COMPLIANCE IN OCTOBER

Health Care Performance

Today, CMS issued new and revised. The new guidance for Phase 3 requirements includes the long-awaited F-Tag F895: Compliance and Ethics Programs. In addition to the surveyor guidance, CMS has posted training on the new compliance guidance for surveyors, and the updated. Designate a compliance contact to receive reports.

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Malnutrition Diagnosis Codes: The Compliance Danger You’re Not Taking Seriously Enough

McBrayer Law Blog

The estimated overpayment as a result of these coding errors is a reported $1 billion. The Centers for Medicare & Medicaid Services ("CMS") also plans to implement review practices for malnutrition coding on a sample of inpatient claims.

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Former CMS chief of staff previews 4 areas of value-based care in 2022

Healthcare IT News - Telehealth

In 2019 and 2020, its partners earned $300 million in Medicare savings, more than $120 million in shared savings, and quality scores exceeding 97%, the company reported. While Congress and CMS have considered permanently expanding access to telehealth and virtual care, there is a big price tag attached.

Medicare 165