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Healthcare Alerts - 2016

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Healthcare Alert

In May of 2011, the State of Illinois launched its first mandatory Medicaid only care coordination initiative for seniors and persons with disabilities known as the Integrated Care Program (ICP).


Healthcare Alert

Last summer the State of Illinois announced the launch of their new Medicaid Management Information System (MMIS) known as Illinois' Medicaid Program Advanced Cloud Technology (IMPACT).

 


Healthcare Alert

While we have all been aware of "issues" (complaints and concerns, including pricing) with the Affordable Care Act since its passage, only today has there become some likelihood of a major overhaul or repeal. Donald Trump, the candidate, had said he'd repeal the ACA (his name - "Obamacare").

 


Healthcare Alert

The United States Department of Health and Human Services, Office for Civil Rights ("HHS"), which enforces the Federal standards that govern the privacy of individually identifiable health information has concluded an action against St. Joseph Health ("SJH"), based on HIPAA violations that resulted in a $2.14 million settlement.

 


Healthcare Alert

On October 1, 2016, the new changes to Section S of the MDS (Minimum Data Set) for the State of Illinois will go into effect. These updates are significant changes and, unlike the prior Section S, this new item set will require corroboration between social services and the clinical team.

 


Healthcare Alert

The Department of Healthcare and Family Services (HFS) announced on August 24, 2016 that they are expanding enrollment for the Supportive Living Program for dementia care settings for experienced healthcare providers.

 


Healthcare Alert

Health care industry manufacturers reported $7.52 billion in payments and ownership and investment interests to physicians and teaching hospitals in 2015.

 


Healthcare Alert

Last summer the State of Illinois announced the launch of the new Medicaid Management Information System (MMIS) known as Illinois' Medicaid Program Advanced Could Technology (IMPACT).

 


Healthcare Alert

On April 1st CMS launched the mandatory Comprehensive Care for Joint Replacement (CJR) program with a bundled payment model for health care costs for the procedure and 90 days after discharge.

 


Healthcare Alert

The Affordable Care Act (ACA) published back in 2010, required providers and suppliers to repay overpayments from the Medicare program within 60 days.

 


Healthcare Alert

CMS has introduced the Home Health Patient Experience of Care Rating system. This is the first ever rating on Home Health Compare. Known as Home Health Care Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) Survey star ratings, these measures evaluate patients' experiences with home health agencies.

 


Healthcare Alert

The Centers for Medicare & Medicaid Services (CMS) has published a final rule that requires Medicare Parts A and B health care providers and suppliers to report and return overpayments by the later of the date that is 60 days after the date an overpayment was identified, or the due date of any corresponding cost report, if applicable.

 


Healthcare Alert

The Centers for Medicare & Medicaid Services (CMS) issued a final rule which revises the Medicaid home health services definition to add specific requirements for home health services which, under Medicaid, includes medical supplies, equipment and appliances.

 


Healthcare Alert

Earlier this month, the CMS Center for Medicare and Medicaid Innovation (CMMI) announced the Accountable Health Communities Model and funding opportunity. The model is the first to test ways to address the health-related social needs of Medicare and Medicaid beneficiaries.

 


Healthcare Alert

On November 27, 2015, the Centers for Medicare and Medicaid Services (CMS) posted a survey and certification letter, S&C 16-04-NH, explaining the updates to the Focus Dementia Surveys.

 

 
 
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