Kelly Simonelli

Congress Hit Snooze on the Telehealth Waiver Clock Again — Latest Update

Last week, we were anxiously awaiting a decision on the extension of the telehealth waiver, with the shutdown of the government looming over the proposed bill. Congress swiftly made some changes to the bill that included the extension, and resulted in a signed bill that will allow us to breathe for a little longer, through December 31, 2027.  The new expiration date of December 31, 2027, will, hopefully, provide an extended window for permanent legislation…

Blog Series: Part 3 – Medical Necessity Under PDPM

In this 3-part blog series, we will focus on issues that were identified in the recent OIG audit of PDPM records and MDS. The first area discussed the lack of documentation to support technical requirements. The second area discussed the requirements for coding diagnoses that meet the active diagnosis requirements. The third and final blog of this series will focus on the requirements to demonstrate medical necessity. Billing and coding for medical services provided under the Centers…

The Telehealth Waiver Clock Is Ticking — What Happens Next?

With the deadline for the latest extension of the telehealth waiver looming just a day away, the Senate has not yet signed the bill that passed through the House last week.  The bill signed by the House will allow the telehealth flexibilities to continue through the end of 2027, giving Congress time to decide if they should be made permanent.  Many patients have benefited from these services, allowing them to receive care when they may…