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SHG Submits Comment on CMS’s Patients Over Paperwork Initiative

Aug 28 2019

In June, CMS published a Request for Information soliciting public comments on ideas for regulatory, policy, practice, and procedural changes to reduce unnecessary administrative burdens for clinicians, providers, and patients pursuant to CMS’ Patients over Paperwork initiative.  SHG worked with one of the nation’s largest long-term care providers to submit extensive comments addressing many administrative burdens placed on facilities on a daily basis with the goal of streamlining processes and reducing the time spent by facility administrators, executive directors, business office managers, and other staff on tasks that do not directly benefit patients. In particular, we focused on delays and inefficiencies in the Medicaid process that lead to a loss of vital public benefits for applicants and result in substantial AR for providers. With providers in many states already stretched thin, in part, as a result of stagnant Medicaid reimbursement rates, streamlining the Medicaid process to ensure that needy and qualified applicants are able to secure benefits in a timely manner is of paramount importance. With this in mind, we identified several areas for improved efficiency, including:
  1. Asset Verification Systems and ensuring that Medicaid agencies share the results and reports with applicants, and broadening the types of information that can be obtained through such systems;
  2. Improvements to online patient portals to promote increased accessibility, efficiency, and communication between all parties in the Medicaid application process;
  3. Reducing delays in payment to providers caused by poorly coordinated payment systems;
  4. Ensuring that all states allow RFMS accounts to be utilized for Miller Trusts;
  5. Simplifying procedures to certify patients’ need for skilled nursing level of care services covered by Medicaid;
  6. Ensuring adequate timeframes are afforded to applicants to produce requested verifications;
  7. Reducing excessive scrutiny of bank transactions involving a low dollar threshold; and
  8. Ensuring undue hardship waivers may be requested and approved without the costly requirement to proceed to litigation as a prerequisite.

SHG is honored to have collaborated on this project with one of the industry’s leaders to support the Patients Over Paperwork Initiative and help make the health care industry better for patients and providers everywhere.

To learn more, please feel free to contact Katie Van Lake at kvanlake@stotlerhayes.com or Stacy Schaub at sschaub@stotlerhayes.com.

Written by Stotler Hayes · Categorized: Health Beat, Medicaid

Stotler Hayes Group, LLC is a national, boutique law firm focused on optimizing recovery for health care providers through Medicaid, Medicare, private collections, training and education. Our attorneys are licensed in, and represent clients before, federal and state courts and agencies in a majority of states around the country.

In the handful of states where Stotler Hayes Group, LLC does not employ a full-time attorney, referrals are made to local counsel, many of whom we have developed close working relationships with over the years. In those cases, our firm works with local counsel throughout the pendency of the case.

Stotler Hayes Group, LLC,

Principal Office: Pawley’s Island, SC, Phone: 843-235-9871; Fax: 888-497-7390; email: info@stotlerhayes.com

This website is for informational purposes only. Please remember that every case is different. Any result we achieve for one client in one matter does not necessarily indicate similar results can be obtained for other clients.

The attorney responsible for the content of this website is Andrea Kirksey, Esq., Executive Director and General Counsel for Stotler Hayes Group, LLC, 297 Willbrook Boulevard,  Pawley’s Island, South Carolina.

She may be contacted at (843) 235-9871, ext. 1002 or at akirksey@stotlerhayes.com.

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