[01/21/12]
Posted on January 21, 2012 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
This week, the Centers for Medicare & Medicaid Services (CMS) updated Section 40.1 of Publication 100-1, the Medicare General Information, Eligibility and Entitlement Manual, to reflect Section 3108 of the Patient Protection and Affordable Care Act (PPACA). This update permits physician assistants to perform the initial certifications and recertifications of a beneficiary’s need for skilled... READ MORE
Tags: ACA, assistant, bufford, care, certification, cms, cps, facility, jent, long term care, Medicaid/Medicare Enrollment and Regulatory Compliance, np, pa, physician, physician extender, PPACA, pub 100-1, recert, recertification, selby, snf, snf-level
[08/13/11]
Posted on August 13, 2011 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
Earlier this week, we highlighted the implementation by Centers for Medicare & Medicaid Services (CMS) of enrollment revalidations and screening categories, and which categories CMS places certain long-term care providers. It is important for providers and suppliers to understand what each screening category (limited, moderate, or high) entails and be aware of any events... READ MORE
Tags: 10 years, ACA, accountable care, assisted living, billing, bufford, cah, clinic, clinical laboratories, cms, database, dmepos, enrollment, excluded, fbi, final adverse action, fingerprint, group, hha, high, Home Health, home health agency, Hospice, hospital, initial enrollment, jent, license, limited, long term care, MAC, medicaid, Medicaid/Medicare Enrollment and Regulatory Compliance, Medicare, mental health, moderate, moratorium, new practice location, nursing home, oig, on site, on-site visit, payment, physcian, PPACA, practitioner, recertification, reimbursement, Rural Health, screening, selby, skilled nursing facility, snf, suspension, therapy, visit
[07/01/11]
Posted on July 1, 2011 in Long-Term Care, Home Health & Hospice
Written by: Selby, Todd J.
In response to the changes contained in the Patient Protection and Affordable Care Act (ACA) designed to address increasing lengths of stay in hospice programs, CMS added a “face-to-face encounter” requirement to the hospice certification requirements. Effective January 1, 2011, a hospice physician or nurse practitioner must have a “face-to-face” encounter with each hospice... READ MORE
Tags: ACA, bufford, cms, face to face, face-to-face encounter, Hospice, jent, long term care, medical necessity, patient, physcian, PPACA, recertification, selby
