Prior Authorization for Certain DMEPOS

On December 29, 2015, the Centers for Medicare and Medicaid Services (CMS) issued the final rule that establishes a prior authorization process for certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items that are frequently subject to unnecessary utilization. This process assures that all Medicare coverage, coding, and clinical documentation requirements are met before…

100 Best Jobs in 2016

The recently released U.S. News & World Report Best Jobs 2016 list ranks 100 of the best jobs. Good jobs are those that pay well, challenge us, are a good match for our talents and skills, aren’t too stressful, offer room to advance and provide a satisfying work-life balance. Even though there is no one best job that…

PQRS 2015 Data Submission Timeframes

Physical therapists, occupational therapists and speech-language pathologists who do not satisfactorily report quality measure data to meet the 2015 Physician Quality Reporting System (PQRS) requirements will be subject to a negative PQRS payment adjustment on all Medicare Part B physician fee schedule services for 2017. The negative payment adjustment will be 2%. Deadline for submission…

Home Health Star Ratings

On January 28, 2016, the Centers for Medicare and Medicaid Services (CMS) released the first Home Health Care Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) Survey star ratings that evaluate patients’ experiences with home health agencies. HHCAHPS star ratings provide a snapshot of the 4 measures of patient experience of care on Home Health Compare.…