Briggs Healthcare

MARCH 23, 2022

PEPPER is an educational tool that summarizes provider-specific data statistics for Medicare services that may be at risk for improper payments. PEPPER is developed under contract with the Centers for Medicare & Medicaid Services (CMS) by RELI Group, along with its partners TMF® Health Quality Institute and CGS.

Medicare 102

Medicare Rehabilitation Medicaid Hospitals 102

Sheppard Health Law

MAY 5, 2022

Department of Health and Human Services Office of Inspector (“OIG”) released a report that studied prior authorization denials and payment denials by Medicare Advantage Organizations (“MAOs”) (the “Report”). Thirteen percent of denied prior authorization requests met Medicare coverage rules. The OIG Report. additional test results).

Medicare 52

Medicare Rehabilitation Urgent Care Patient Safety 52

Etactics

JUNE 29, 2023

And those who work with the elderly and disabled in a nursing home setting will likely find themselves working with Medicare. While Medicare may not fully cover a stay in a nursing home, depending on an individual's circumstances, they can still qualify for partial coverage. Medicare coverage depends on: State and federal laws.

Nursing 52

Nursing Medicare Home Care Medicaid 52

Briggs Healthcare

AUGUST 19, 2022

Also named in the Superseding Indictment were two nursing facilities operating in Western Pennsylvania, Comprehensive Healthcare Management Services, LLC d/b/a Brighton Rehabilitation and Wellness Center and Mt. Lebanon Rehabilitation and Wellness Center. Lebanon Operations, LLC d/b/a Mt.

Nursing 74

Nursing Rehabilitation Medicaid Medicare 74

HIT Consultant

NOVEMBER 16, 2022

Cipher Skin and Parker Health launches a new pilot program to help bring tech-enabled physical therapy to Medicare and Medicaid patients. This collaboration will help accelerate physical rehabilitation by improving patient engagement and care plan completion.

Physical Therapy 98

Physical Therapy Integration Accountable Care Rehabilitation 98

Sheppard Health Law

SEPTEMBER 6, 2022

In response to the COVID-19 Public Health Emergency (the “PHE”), the Centers for Medicare and Medicaid Services (“CMS”) issued numerous “blanket waivers” to increase access to medical services, and ease the regulatory burden on providers across the health care industry. The declaration of the PHE is currently set to expire on October 15 th.

Rehabilitation 52

Rehabilitation Medicare Nursing Medicaid 52

Health Populi

JUNE 7, 2018

The key drivers of spending growth were the adoption of new technologies, shifting to more preventive services, obesity and population aging.

Healthcare 82

Healthcare Accountability Rehabilitation Prevention 82

NASHP

FEBRUARY 17, 2025

percent increases in five areas of policy : targeted case management, community support services, rehabilitative and community support, behavioral health services, and behavioral health home services. Effective January 1, 2023, MaineCare payment rates were updated for over 115 discrete services, ranging from 6.6 percent to 72.3

Medicaid 52

Medicaid Rehabilitation Hospitals Telemedicine 52

Healthcare Success

NOVEMBER 7, 2022

Level up your game if you seek Medicare Advantage members. As you likely already know, Medicare Advantage is growing, and the landscape is becoming more competitive. Inspire your audience into action with unique and engaging campaigns that promote things like preventive care or address your most frequently asked questions.

Doctors 130

Doctors Healthcare Integration Nursing 130

Briggs Healthcare

AUGUST 14, 2023

The three domains of the SPSS for the 2023 fiscal year include: • Survey and Intake Process • Survey and Intake Quality • Noncompliance Resolution On behalf of CMS, we truly appreciate all the endless efforts to improve the health, safety and dignity of all Medicare and Medicaid enrollees. Effective Date: Immediately.

Physical Therapy 52

Physical Therapy Rehabilitation Medicaid Quality of Care 52

Briggs Healthcare

MAY 4, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The submission deadline for the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) Quality Reporting Programs is approaching. All data must be submitted no later than 11:59 p.m. on May 15, 2023.

Rehabilitation 40

Rehabilitation Medicaid Medicare Prevention 40

Briggs Healthcare

FEBRUARY 10, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The submission deadline for the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) Quality Reporting Programs is approaching.

Rehabilitation 40

Rehabilitation Medicaid Quality Improvement Medicare 40

Briggs Healthcare

FEBRUARY 2, 2022

The Inpatient Rehabilitation Facility (IRF) Provider Preview Reports have been updated and are now available. Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The data contained within the Preview Reports are based on quality assessment data submitted by IRFs from Quarter 3, 2020 through Quarter 2, 2021 (4 quarters).

Rehabilitation 40

Rehabilitation Medicaid Medicare Prevention 40

Briggs Healthcare

NOVEMBER 10, 2022

The submission deadline for the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) Quality Reporting Programs is approaching. MDS assessment data and data submitted to CMS via the CDC NHSN for April 1 – June 30 (Q2) of calendar year (CY) 2022 are due with this submission deadline.

Rehabilitation 40

Rehabilitation Quality Improvement Medicaid Nursing 40

HIT Consultant

JULY 19, 2023

There needs to be a better way, and leaning on blockchain technology could rehabilitate the healthcare industry into a more safe and secure ecosystem for care delivery. The blockchain brings integrity and an immutable record of every transaction to prevent data tampering, thereby reducing the risk of medical errors.

Healthcare 75

Healthcare Doctors Rehabilitation Healthcare Providers 75

Etactics

DECEMBER 1, 2023

Preventing denial codes is essential if you want to keep a steady revenue flow. This is an easily preventable billing error, which we are going to go over in this blog. However, Medicare and other insurance cover a variety of different services and supplies, some of which aren’t identified by CPT codes. 71020 - Chest X-ray.

Medicare 52

Medicare Medical Services Medicaid Prevention 52

NASHP

OCTOBER 20, 2022

For example, the Centers for Medicare & Medicaid Services Innovation Center is currently supporting the Integrated Care for Kids (InCK) model across seven sites in six states. 12] Innovation Center, “Integrated Care for Kids (InCK) Model,” Centers for Medicare & Medicaid Services, [link]. [13] Pediatrics. 17] Kretzmann, J.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

NASHP

MARCH 22, 2024

North Carolina’s comprehensive behavioral health approach included efforts to increase uptake of CoCM through additional training and practice supports and Medicaid rate increases to 120% of Medicare rates for behavioral health providers. An action plan dashboard tracks targets. CMS’s Birth to 5: Watch Me Thrive!

Medicaid 52

Medicaid Integration Primary Care Nursing 52

NASHP

APRIL 15, 2022

In January 2021, the Centers for Medicare and Medicaid Services (CMS) released a roadmap for states to address social determinants of health that includes several options for supportive housing services. Eviction prevention. Cannot include funding for building modification or rehabilitation. [8] Landlord community.

Medicaid 59

Medicaid Public Hospital Hospitals Nursing 59

Home Health Care

MARCH 11, 2025

Also testifying before the committee were Paul Dongilli, CEO of Madonna Rehabilitation Hospitals; Lisa Grabert, a research professor from Marquette University and Eric Carlson, director of long-term services and supports advocacy at Justice in Aging.

Home Care 100

Home Care Medicaid Rehabilitation Medicare 100

HIT Consultant

OCTOBER 20, 2023

As is often the case in today’s healthcare environment, advanced technologies powered by artificial intelligence (AI) and machine learning (ML) are emerging as a potential solution, helping to both prevent falls and accelerate recovery when falls lead to injury – particularly when they can be used in the comfort of the patient’s home.

Rehabilitation 105

Rehabilitation Prevention Pharmaceuticals Biotechnology 105

NASHP

DECEMBER 20, 2021

Figure 1: Interventions Used to Prevent and End Homelessness. Supportive services are offered to maximize housing stability and prevent returns to homelessness as opposed to addressing predetermined treatment goals prior to permanent housing entry.”. Source: Framework for an Equitable COVID-19 Homelessness Response.

Medicaid 85

Medicaid Prevention Integration Hospitals 85

Health Populi

JANUARY 7, 2019

An important example of this self-care approach is the evidence-based Ornish food regimen which is reimbursed by Medicare (as a form of cardiac rehabilitation). Dr. Amy Serin developed the technology for preventing and treating PTSD for elite military. The innovation is now available for the consumer market.

Rehabilitation 72

Rehabilitation Prevention Medicare Medical Technology 72

NASHP

DECEMBER 15, 2021

Figure 1: Interventions Used to Prevent and End Homelessness. Supportive services are offered to maximize housing stability and prevent returns to homelessness as opposed to addressing predetermined treatment goals prior to permanent housing entry.”. Source: Framework for an Equitable COVID-19 Homelessness Response.

Medicaid 52

Medicaid Prevention Integration Population Health 52

KHN

DECEMBER 19, 2023

The lawsuit alleged that Herrman died because a defect in the locking mechanism of the HeartMate 3 prevented the device from sealing, causing multiple strokes and leading to a severe brain injury and multiorgan failure. The article describes how Stulak replaced the device with a new one, but it was too late to prevent the injuries to Herrman.

Doctors 133

Doctors Hospitals Regulations Law Firms 133

NASHP

DECEMBER 20, 2022

States are taking steps to provide additional prevention, treatment, and recovery services to higher-risk individuals with opioid use disorder (OUD), including those in contact with the criminal legal system. Community Services and Prevention (Intercept 0). Across states, drug violations have led to most arrests in recent years.

Medicaid 52

Medicaid Prevention Hospitals Integration 52

Briggs Healthcare

SEPTEMBER 18, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Inpatient Rehabilitation Facility (IRF) Provider Preview Reports have been updated and are now available. The data contained within the Preview Reports are based on quality assessment data submitted by IRFs from Quarter 2, 2022 through Quarter 1, 2023.

Rehabilitation 40

Rehabilitation Medicaid Medicare Prevention 40

Briggs Healthcare

SEPTEMBER 16, 2022

The Inpatient Rehabilitation Facility (IRF) Provider Preview Reports have been updated and are now available. Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The data contained within the Preview Reports are based on quality assessment data submitted by IRFs from Quarter 2, 2021 through Quarter 1, 2022.

Rehabilitation 40

Rehabilitation Medicaid Medicare Prevention 40

Briggs Healthcare

JUNE 21, 2023

However, providers can request Centers for Medicare & Medicaid Services (CMS) review of their data during the preview period if they believe the quality measure scores that are displayed within their Preview Reports are inaccurate. For more information, please visit the CMS LTCH QRP Public Reporting website.

Rehabilitation 40

Rehabilitation Medicaid Medicare Prevention 40

Briggs Healthcare

JUNE 16, 2022

The Inpatient Rehabilitation Facility (IRF) Provider Preview Reports have been updated and are now available. Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The data contained within the Preview Reports are based on quality assessment data submitted by IRFs from Quarter 1, 2021 through Quarter 4, 2021.

Rehabilitation 40

Rehabilitation Medicaid Medicare Prevention 40

Briggs Healthcare

APRIL 5, 2023

On April 4, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2024.

Rehabilitation 40

Rehabilitation Nursing Medicare Quality of Care 40

NASHP

JULY 22, 2022

While some select initiatives in state spending plans remain under review, all 50 states have received approval from the Centers for Medicare and Medicaid Services (CMS) to claim the enhanced Medicaid HCBS Federal Medical Assistance Percentage (FMAP) and begin to implement their proposals.[2]. Rehabilitative services. Case management.

Medicaid 105

Medicaid Rehabilitation Nursing Medicare 105

Briggs Healthcare

DECEMBER 6, 2022

The pre-rulemaking process provides the Centers for Medicare & Medicaid Services (CMS) with a vehicle to hear from stakeholders for early consideration of measures. This outcome measure estimates the percentage of Home Health (HH) Medicare patients who meet or exceed an expected discharge function score. MUC List, 2022 Measures.

Medicare 40

Medicare Nursing Hospitals Rehabilitation 40

Briggs Healthcare

SEPTEMBER 30, 2022

The September 2022 Release of the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC). The data are based on quality assessment data submitted by IRFs to Centers for Medicare & Medicaid Services (CMS) from Quarter 1, 2021 through Quarter 4, 2021.

Rehabilitation 40

Rehabilitation Prevention Medicaid Medicare 40

Briggs Healthcare

AUGUST 19, 2022

The Centers for Medicare & Medicaid Services (CMS) plays an important role in protecting the health and safety of all Americans as they journey through the health care system. There’s a lot of information in the CMS Blog. This is especially true during a pandemic, natural disaster, or other emergencies. and Arjun Srinivasan, M.D.,

Medicaid 40

Medicaid Medicare Nursing Rehabilitation 40

Briggs Healthcare

FEBRUARY 24, 2023

COVID-19 remains a significant priority for the Biden-Harris Administration and over the next several months, the Centers for Medicare & Medicaid Services (CMS) will work to ensure a smooth transition.

Rehabilitation 40

Rehabilitation Nursing Medicare Hospitals 40

Sheppard Health Law

NOVEMBER 13, 2023

On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). The UM committee was established in April 2023 in the 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F).

Medicare 59

Medicare Medicaid Regulations Integration 59