Articles
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CMS Changing CLIA Proficiency Testing Regulations
Staff and administrators of some clinical laboratories will have rules changes to keep up with in the months ahead as Clinical Laboratory Improvement Amendments (CLIA) proficiency testing regulations take effect.
P&Ps Should Address Repeated Polysomnography Testing
Duplicate polysomnography services are rarely medically necessary in consecutive years, according to Medicare fraud investigators and sleep medicine professionals.
Perform Lab Tests? CLIA Rules Must Be Followed
Healthcare providers that perform laboratory tests must meet CLIA requirements established by CMS. Learn more in the blog.
Effective Date Set for Revised ABN Form
The revised Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, is now available to download from the Centers for Medicare & Medicaid Services (CMS). Affected organizations must start using the updated ABN form by June 30, 2023.
Home Health: The Importance of Verifying Personnel Credentials
Recent federal arrests in a scheme to sell fake nursing diplomas serve as a critical reminder to home health agencies about the importance of verifying credentials for licensed personnel.
Behavioral Health: Standards Require Credential Verification
Recent federal arrests in a scheme to sell fake nursing diplomas serve as a critical reminder to behavioral health facilities about the importance of verifying credentials for licensed personnel.
Changes to Know for Clinical Laboratories
COVID-19 tests and cholera testing remain current topics. The U.S. Food and Drug Administration has issued a bulletin about a COVID-19 test recall and has approved four more at-home antigen tests.
Sleep: Preparing for Survey Interviews Can Ease Concerns
Throughout the survey process, your Surveyor will review required documents, assess policies and procedures, and interview key personnel, employees, and contracted individuals who provide direct care on behalf of your sleep facility.
New CMS Program Allows Voluntary Prior Authorization for Certain PMD Accessories
The Centers for Medicare & Medicaid Services (CMS) recently implemented a voluntary prior authorization program for certain power mobility device (PMD) accessories.
HCPCS Codes Added to F2F/WOPD List
The CMS is expanding the number of DMEPOS product codes on the Required Face-to-Face Encounter and Written Order Prior to Delivery List.