Regional Survey and Certification Letter No. 12-02

Procedural Instructions for Processing Certifications Concerning Legal Names and Doing Business as Names of Providers and Suppliers

The Dallas Regional Office has identified discrepancies regarding the legal names and doing business as (dba) names of providers and suppliers in certification packets submitted. We are providing this letter to clarify the process for legal and dba names on certification documents such as initial and change of ownership (CHOW) certification packets. Read more…

Regional Survey and Certification Letter No. 12-01

Voluntary Termination From Medicare

The purpose of this letter is to clarify the types of voluntary termination from Medicare participation and to provide references and procedures for processing each type of voluntary termination. In addition, this letter will provide clarification regarding application to all Medicare providers and suppliers that voluntarily withdraw or terminate from the Medicare program. Read more…

5010 FAQ’s From CMS

Why is the transition to Version 5010 happening?

Version 5010 HIPAA transaction standards result in improved standardization for administrative and clinical data compared with the current Version 4010/4010A standards.

Unlike Version 4010/4010A, Version 5010 allows for the use of ICD-10 in electronic claims. Read more…

TJC Bulletin

New Standard IC.02.04.01 on Influenza Vaccination for Staff

The Joint Commission has revised standard IC.02.04.01, strengthening the requirements to better reflect current scientific evidence and the national initiatives on influenza vaccination for licensed independent practitioners and staff. As part of this revision, the standard has been expanded to include home care organizations. The standard will be implemented in a phased approach beginning July 1, 2012. This will provide more time for organizations to determine their influenza vaccination goals for licensed independent practitioners and staff, and to learn about measuring an influenza vaccination rate and making
improvements to the rate. Read more…

AT&T Method Discontinued DHS

Minimum Data Set (MDS) 3.0 Inactivation Procedure Clarification – Revised

The Centers for Medicare & Medicaid Services (CMS) has clarified the MDS 3.0 inactivation procedure to be used for MDS 3.0 Omnibus Budget Reconciliation Act (OBRA) and Prospective Payment System (PPS) records. An inactivation can only be completed after MDS 3.0 records have been accepted into the Quality Improvement Evaluation System (QIES) Assessment Submission and Processing (ASAP) system. Read more…