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F-Tags in Review: F940 General Training

Regulations for skilled nursing are changing again in 2019. This implementation is the last of a 3-phase execution of new regulations which began in November 2017. This year, November 2019, will introduce survey review and compliance training requirements for various focused subjects. Let’s take a look at the overview of what will be required and surveyed beginning in November 2019 under F-TAG 940 – General Training Requirements. This regulation spells out, for the first time,…

Annual Wellness Visit: Audit Reveals EMR Template Vulnerability for Busy Medical Group

Background The Centers for Medicare & Medicaid Services (CMS) provides eligible Medicare recipients preventive services. In the first year following the recipient’s effective date, Medicare covers an Initial Preventive Physical Examination (IPPE). This is also known as a Welcome to Medicare visit. Each year after, the recipient may participate in an Annual Wellness Visit (AWV). The IPPE and AWV are intended to help patients maintain good health by catching signs of disease early on and…

What is a SMRC Audit and What Should You Do?

The Centers for Medicare and Medicaid (CMS) has established multiple levels of subcontractors to identify and minimize evidence of improper payments. Each provider has a Medicare Administrative Contractor (MAC). Currently the MACs include: is Noridian Healthcare Solutions, LLC (Noridian), CGS Administrators, LLC (CGS), National Government Services, Inc. (NGS), Novitas Solutions, Inc. (Novitas), Palmetto GBA, LLC (Palmetto), and First Coast Service Options, Inc. (First Coast). View coverage by state. In addition to the contractor assigned to your organization, CMS has…