COVID19 - RACmonitor

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On March 13, the Centers for Medicare & Medicaid Services (CMS) issued blanket waivers that will impact Inpatient Rehabilitation Facilities (IRFs) as well as other Post-Acute Care (PAC) settings. The blanket waivers, which do not require any special request to be filed, will allow IRFs to admit patients to IRF…
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EDITOR’S NOTE: This is a developing story subject to change. The goal of both state governments and Congress last week was to remove any economic obstacles for people to get tested for COVID-19. State and federal leaders wanted to make sure that people don’t hesitate in getting tested, for economic…
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Federal officials have been making efforts to ease restrictions and waive requirements in a time of crisis. The Centers for Medicare & Medicaid Services (CMS) has issued a number of waivers to help healthcare organizations cope with the COVID-19 outbreak. Sorting through them is difficult, because they are heavy in…
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Overzealous and hyper-aggressive audit tactics are scaring providers away from self-governing. The U.S. Department of Health and Human Services (HHS) strikes again, and this time, based on an Office of Inspector General (OIG) audit, Saint Francis Health Center has been asked to refund $5.5 million back to the Medicare contractor. …
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The nation’s largest city saw its cases soar past the 1,000 mark this week. I wish that I was writing under better circumstances, but these are difficult times in New York, and across the United States. As of Tuesday, New York State had more patients identified with COVID-19 than any…
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Vulnerable seniors, especially those with underlying health conditions, have been of particular concern to those working to stem the coronavirus pandemic. Federal authorities have rolled out guidance for entities that serve senior populations, which are of particular concern to the nationwide corps of healthcare professionals seeking to curb the ongoing…
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On Friday, March 13, President Donald Trump issued a national emergency declaration due to the COVID-19 pandemic, creating several key implications for care management and utilization review professionals. This declaration led to what is called a 1135 waiver, which gives the Centers for Medicare & Medicaid Services (CMS) broad authority…