Headlines

CMS Releases Providers’ Staffing Data To Assess PPE Needs

The Centers for Medicare & Medicaid Services (CMS) announced they will be using providers’ staffing totals to identify their personal protective equipment (PPE) needs during the coronavirus pandemic. CMS also plans to freeze nursing home inspections star ratings during the emergency. For more on this, please see the article below. View Article Here

Read More »

2021 CMS Proposed Payment and Policy Changes For SNFs

Recently, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule for skilled nursing facility (SNF) payments for the coming year. If finalized, the rule would see nursing homes receive a 2.3% Medicare pay bump, update the SNF prospective payment system (PPS) wage index and update the way IDC-10 codes map under the

Read More »

COVID-19 Payer Updates 4/21/20 – Access Advantage

Payer COVID-19 policies continue to come in, with anticipated additions over the days and weeks ahead. Payers are relaxing their policies and implementing emergency actions to accommodate the influx of healthcare services needed at this time. Please see below for the latest update(s) since our last alert. Ohio Department of Medicaid (ODM) – In response

Read More »

CMS Temporarily Postpones Facility Inspections

In light of the COVID-19 emergency, the Centers for Medicare and Medicaid Services (CMS) has temporarily postponed facility inspections. Focus has instead shifted to infection control and Immediate Jeopardy situations.  For more on this as well as a look at the three-pronged approach to identify which providers, hospitals and labs across the country are prepared

Read More »

COVID-19 Payer Updates 4/1/20 – Access Advantage

Payer COVID-19 policies continue to come in, with anticipated additions over the days and weeks ahead. Payers are relaxing their policies and implementing emergency actions to accommodate the influx of healthcare services needed at this time. Please see below for the latest update(s) since our last alert. Anthem – Beginning March 26, 2020 Anthem health

Read More »

COVID-19 Payer Updates – Access Advantage

Payer COVID-19 policies are beginning to come in, with anticipated additions over the days and weeks ahead. Please note several payers have made changes to their prior authorization (PA) protocols. Aultcare – Recently developed a policy to make it easier to access medical care virtually. The policy, applicable to all medically necessary services, will be

Read More »