OASIS is a set of data points used to evaulate HHAs and improve quality of care. Find out how Shield Healthcare can help improve your scores.

The CMS states that pre-claim review does not create new documentation requirements, but instead requires that the same documentation be submitted earlier.

In October, the Centers for Medicare & Medicaid Services (CMS) announced the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) final rule for 2017

Under a nearly approved waiver, the state of WA will focus on the social needs of its Medicaid population. Originally published on Modern Healthcare.

On January 28th 2016, CMS loaded past patient satisfaction surveys to their comparison website. Will the change cause home health stars to rise or fall? 

The transition to ICD-10 is required for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). See this list of ICD-10 resources:

By Virgil Dickson for Modern Healthcare Health plans and state Medicaid directors disagree on how the CMS should fix its problem of underpaying plans with high numbers of dually eligible Medicare and Medicaid beneficiaries. In October, the CMS announced it would modify its risk-adjustment model after an analysis of reimbursement data revealed that some health plans… Continue reading Payers, States at Odds on CMS Plan to Fix Dual-Eligible Underpayment

By now your practice has transitioned to ICD-10. So what's next? See if your claims will be paid, rejected or denied with this ICD-10 Troubleshooting Guide.

In this article, originally published by Kaiser Health News, learn why a medical payment model has yet to save the government money.

Medi-Cal is one of four state Medicaid programs that will not fully transition to ICD-10 code sets by the Oct. 1 deadline to do so. Other states include...