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All posts by Mark Fabela

Medi-Cal Disaster Relief for Replacement Medications

Original article posted on CAHSAH Weekly News Update – November 19, 2018 In response to the fires in Butte, Los Angeles and Ventura counties, the Department of Health Care Services (DHCS) has issued the following information about the need to dispense replacement medication to beneficiaries impacted by these fires....

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December 2018 Newsletter

December 2018 Newsletter

December 2018 Industry News — Home Health Industry Can’t Fight CMS’ New Pre-Claim Review Initiative To combat improper billing, the Centers for Medicare & Medicaid Services (CMS) in 2016 rolled out the controversial pre-claim review demonstration in Illinois, an initiative that required home health providers to send in their...

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November 2018 Newsletter

November 2018 Industry News — Denials from Medicare Advantage Plans Original article posted on CAHSAH’s Weekly Update on 10/22/18 Click HERE to read the Office of the Inspector General’s Report   The Office of the Inspector General reports that Medicare Advantage plans are improperly denying insurance claims. According to the report, Private...

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October 2018 Newsletter

October 2018 Newsletter

October 2018 Industry News — Proposed Rule to Ease Burden on Providers On September 17, 2018, there was a proposed rule announced by CMS which would relieve burden on health care providers by removing obsolete, unnecessary, and excessive burdensome Medicare compliance requirements for health care facilities. Savings are estimated...

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September 2018 Newsletter

September 2018 Newsletter

September 2018 Industry News — Value Based Purchasing Proposed Changes for 2019 On July 12, 2018, CMS released the Proposed Payment Rule for 2019. One aspect of this final rule that providers are taking note of is the proposed changes to the Value-Based Purchasing (VBP) Model. This calls for...

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