1. Regulatory Roundup 2.0

    ... 5/8/2018 Proposed rule: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing ... on the interaction of the hospice benefit and various alternative care delivery models, specifically the CBID ... Monitoring 07/15/2019 Proposed rule: Medicaid Program; Methods for Assuring Access to Covered Medicaid Services ...

    January
    18, 2019
  2. CMS Issues Final Rule on Adequacy of Medicaid Payments to Providers

    ... Characteristics of the beneficiary population. Levels of payment available from other public and private payers.  In ... A request for information on data metrics and alternative processes for access to care in the Medicaid ... A request for information on data metrics and alternative processes for access to care in the Medicaid ...

    November
    23, 2015
    Legislation
  3. Health Information Exchange (HIE): A Primer and Provider Selection Guide

    ...               3.2    Types of Communication Methods               3.3    Types of Data ...              6.5    Standard of Care and Other Payment Sources               6.6    Return on ... accountable care organizations and participate in other alternative payment models to succeed in monitoring and ...

    October
    10, 2019
  4. Telehealth and Remote Patient Monitoring for Long-Term and Post-Acute Care: A Primer and Provider Selection Guide

    ... Pay          6.7  Standard of Care and Other Payment Sources          6.8  Return on Investment ... circumstances, "remote consultation" has served as an alternative in recent years. For the scope of this ... of the term “remote consultation” will refer to all methods where:  There is an exchange of medical information. ...

    December
    06, 2016
  5. Providers Can Correct PRF Reporting Errors

    ... realized after the first report was submitted that a payment they received and thought was for a different purpose ... to dispute this determination as well as information on alternative methods of repayment. Providers can wait to take action until ...

    March
    23, 2022
    Regulation
    BY
    Nicole Fallon
  6. Shared Care Planning and Coordination for Long-Term and Post-Acute Care: A Primer and Provider Selection Guide

    ... Pay           6.7 Standard of Care and Other Payment Sources           6.8 Return on Investment ... state. 63 States are encouraged to use innovative payment methods to incorporate telehealth technology.  CMS requires ... issue. Government and private insurers have examined alternative models of payment that may or may not participate ...

    October
    04, 2016
  7. Safety Technology for Long-Term and Post-Acute Care: A Primer and Provider Selection Guide

    ...              5.4    Standard of Care and Other Payment Sources              5.5    Return on ... and staff perform daily checks better than did old methods, such as manually moving a flag outside of resident ... daily needs.  Two-way communication platforms are an alternative to standard consumer smartphones or two-way ...

    October
    02, 2018
  8. Functional Assessment and Activity Monitoring Technology: A Primer and Provider Selection Guide

    ... Pay          6.5  Standard of Care and Other Payment Sources          6.6  Return on Investment ... associated with incontinence. Bathing employs similar methods, through the use of water and motion sensors, or ... remote monitoring with intermittent care and provided an alternative to nursing homes that was supportive but cost ...

    September
    30, 2015
  9. Medication Management Technologies for Long-Term and Post-Acute Care: A Primer and Provider Selection Guide

    ...          7.5.  Standard of Care and Other Payment Sources          7.6.  Return on Investment ... drug safety issues.  Using efficient communication methods to convey medication recommendations to prescribers, ... Check Medication Reconciliation Lists: Medications Generic Alternative Check Billing/ Claim Submission Evaluation of ...

    June
    08, 2015
  10. States Take Action to Sustain Adult Day Services through COVID-19

    ... 27 is below, along with a description of their respective payment policies for adult day services. On April 27, this ... service plan. Providers can also deliver services using alternative methods, including the use of technology. CMS also has an ...

    April
    09, 2020
    Regulation

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