Programs
Regulatory Updates
Total of 180 Records Returned
State: All
Local Coverage Determination (LCD): Home Health – Psychiatric Care (L34561)
Date Proposed : 03/29/2016
Program: Home Health
Summary: Information for Local Coverage Determination for home health - psychiatric care. Includes coverage guidance, coding information, and general information.
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Hospice Tip: What documentation is needed to support terminal illness?
Date Proposed : 03/23/2016
Program: Hospice
Summary: Terminal illness documentation may include the following: the history, progression of illness/disease, recent changes, exacerbation of symptoms, comorbities, secondary conditions, variables that are measureable, labs, PPS/Karnofsky scale, FAST scale for Alzheimer's patients, weight loss, BMI, percentage of meals eaten, vital signs, IDG meeting notes.
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DMEPOS Information for Pharmacies
Date Proposed : 06/1/2015
Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Pharmacy
Summary: “The Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS): Information for Pharmacies” Fact Sheet – Revised This fact sheet is designed to provide education for pharmacies on DMEPOS. It includes information on accreditation by a CMS – approved independent national Accreditation Organization, as well as information if a pharmacy wants to be considered for an exemption from the accreditation requirements.
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Complying With Medical Record Documentation Requirements
Date Adopted : 01/1/2021
Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
Summary: This fact sheet was developed by the Medicare Learning Network (MLN), in conjunction with the Comprehensive Error Rate Testing (CERT) Part A and Part B (A/B) and Durable Medical Equipment (DME) Medicare Administrative Contractors (MAC) Outreach & Education Task Forces, to provide nationally-consistent education on topics of interest to health care professionals. It is designed to help providers understand how to provide accurate and supportive medical record documentation.
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PECOS for DMEPOS suppliers – updated January 2022
Date Proposed : 10/10/2019
Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
Summary: Provider-Supplier enrollment fact sheet series. Update January 2022.
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Hospice Documentation Tips
Date Proposed : 10/20/2015
Program: Hospice
Summary: Medicare coverage of hospice depends on a physician's certification that an individual's prognosis is a life expectancy of six months or less if the terminal illness runs its normal course. Since determination of decline presumes assessment of the patient's status over time, it is essential that both baseline and follow-up determinations be reported where appropriate. Patients that have ceased to show on-going decline or who have plateaued from a trajectory of decline may no longer meet hospice eligibility guidelines despite a significant need for custodial care.
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Accreditation Commission for Health Care, Inc.