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Final 2025 MA Rule Includes More Prior Authorization Scrutiny

May 8, 2024/News

Medicare Advantage plans will be required to analyze prior authorization requirements' impact on health equity.

Total Hip Arthroplasty (THA)

Jun 13, 2016/Clinical Summary

THA to improve hip joint stability, mobility, locomotion, and quality of life is considered one of the most successful surgical procedures.

Win: CMS Says SNFs, Hospitals, HHAs, Rehab Agencies, Other Institutional Settings Can Bill Telehealth Outpatient Therapy Claims

May 29, 2020/News

The clarification from CMS applies to settings that use institutional claims such as UB-04.

Final 2022 Home Health Rule: No Big PDGM Changes, But a Surprise Payment Boost

Nov 5, 2021/Review

CMS stuck to most of what it proposed in June but opened the possibility for a 2.6% payment increase for qualifying HHAs.

How Do You Know When You Are Providing High-Quality Care?

Jul 2, 2020/Perspective

Asking the question of how you know you’re providing high-quality care.

The Keys to Effective Documentation

Aug 1, 2016/Column

Be thorough and try to think like a payer.

Coronavirus Update: March 23, 2020

Mar 23, 2020/News

Tips on what to ask about telehealth; guidance on paid leave law; coronavirus "self-checker"; CMS enrollment relief, and more.

Proposed 2026 Home Health Rule: Implementation of PDGM Leads to 6.4% Cut

Jul 9, 2025/Article

In this review: Medicare and Medicaid Programs: Calendar Year 2026 Home Health Prospective Payment System Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding

OMNI Exertion Scale, OMNI Picture System of Perceived Exertion (Adult OMNI Versions)

May 3, 2022/Test & Measure

The OMNI Picture System is a collection of category scales used for rating of perceived exertion (RPE).