Center for Medicare and Medicaid Services (CMS) Administrator, Seema Verma, published her first of five planned blog posts detailing CMS’s new nursing home safety and quality strategy. Aimed at guiding CMS’s work to improve safety and quality through a more consistent survey process, the new strategy will include CMS initiatives to: Strengthen Oversight; Enhance Enforcement; Increase […]
Shifting Perspective
About a year ago, I participated in an executive coaching program centered around the teaching that a person’s thinking has a greater impact on their (personal) outcomes than any other contributing factor. I’ve continued to follow their blog and yesterday, I read an article that offered the simple idea that every one of life’s experiences falls into […]
Additional Providers May be at Risk for Losing Medicaid Eligibility Under New Rule
Earlier this week, September 5, the federal government finalized a rule, “Program Integrity Enhancements to the Provider Enrollment Process”, whichexpands the power of the Centers of Medicare & Medicaid Services (CMS) to remove providers from Medicaid (and Medicare) eligibility. The rule is scheduled to take effect November 4, 2019, and allows CMS to revoke Medicaid […]
Medicare 3-Day Rule Gets Renewed Attention
A report released this past February by the Office of Inspector General (OIG) for the Department of Health and Human Services revealed that during 2013 – 2015, the Center for Medicare and Medicaid Services (CMS) improperly paid an estimated $84 million for Skilled Nursing Facility (SNF) services that did not meet Medicare’s 3-day rule. The […]
NJ Governor Signs SB499 Paving Way for Increased Efficiencies in Medicaid Eligibility Determinations
Following the efforts of the NJ Health Care Association and many of its providers and our clients, Governor Murphy signed SB 499 into law on August 23, 2019. Congratulations to all of our NJ clients and providers for a hard-fought won. We look forward to continuing working with you to improve the Medicaid eligibility system […]
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