CMS Chief: Prior Authorization Needed to Fight “Fraud and Abuse”

CMS Administrator Seema Verma complained that the federal government needs more legal authority to conduct Medicare prior authorization reviews she says work well in the private sector during a speech to the America’s Health Insurance Plans 2018 National Conference on Medicare on Tuesday, October 16. Interestingly, according to a report from Inside Health Policy, Barbara…

NAHC Submits Recommendations on the Home Health Conditions of Participation

On October 27, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a draft copy of the home health Conditions of Participation (HHCoPs) Interpretive Guidelines (IGs).  CMS sent the draft copy to several industry stakeholders, including the National Association for Home Care & Hospice (NAHC), requesting that comments on the draft IGs be submitted…

CMS Open Door Forum Summary

Home Health Regulatory and Hospice Quality Updates take Center Stage On Wednesday, November 15, 2017, the Centers for Medicare & Medicaid (CMS) held a regular Open Door Forum to present the latest updates on home health and hospice regulatory issues. Following are summaries of issues presented: HOME HEALTH UPDATES Home Health Prospective Payment System (HH…