Articles
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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.
Compounding Pharmacy: Properly Display Current Licenses, Permits
PCAB Accreditation Standards require compounding pharmacies to be compliant with all federal, state, local, and nonresident licensure/permit requirements, as applicable.
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.
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.
Home Infusion Therapy: Credential Verification Required for Licensed Personnel
Recent federal arrests in a scheme to sell fake nursing diplomas serve as a critical reminder to home infusion therapy organizations about the importance of verifying credentials for licensed personnel.
Hospice: CMS Revisions Impact Survey Record Review Requirements
On January 27, 2023, the Centers for Medicare & Medicaid Services (CMS) released revisions to Hospice-Appendix M of the State Operations Manual.
Hospice: Plan Ahead for the End of the PHE
With the COVID-19 public health emergency (PHE) ending soon, affected healthcare providers, including home health agencies with deemed status, will need to make adjustments as they prepare to restore normal operations.
Demonstrating Separate Services for Home Infusion Therapy Accreditation
For home infusion therapy (HIT) suppliers, the Medicare Conditions for Coverage (CfCs) apply to an organization as a whole — including all clients/patients and not just Medicare beneficiaries.