Providers regularly make four coding mistakes that draw scrutiny from regulators and auditors, a long-time compliance expert warned Wednesday.

The Centers for Medicare & Medicaid Services (CMS) has finalized updates to MDS 3.0 technical specifications, item sets, and the RAI User’s Manual for FY2026, effective October 1, 2025. These include ...

The all-or-nothing nature of the Centers for Medicare and Medicaid Services (CMS) quality audits means nursing homes could ...

The Centers for Medicare & Medicaid Services kept a pre-New Year’s resolution by releasing a second draft of the new MDS tool that will be used to assess residents starting Oct. 1, 2023. The agency ...

The Centers for Medicare & Medicaid Services has issued the final MDS 3.0 RAI User’s Manual v1.20.1, effective October 1, 2025, with revisions to specific assessment items. Updates include adjusted ...

During the recent skilled nursing facility (SNF) Open Door Forum, the Centers for Medicare & Medicaid Services (CMS) eased some providers' concerns about preparing for the Minimum Data Set (MDS) 3.0 ...

The Centers for Medicare and Medicaid Services has issued the final rule updating Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective ...

An updated version of the Minimum Data Set (MDS) 3.0 Draft Item Set appeared on CMS' Web site May 7 and an initial analysis revealed significant changes from the previous draft. Some key changes ...

Centers for Medicare & Medicaid Services is considering expanding the national coverage determination for allogeneic hematopoietic stem cell transplants using bone marrow or peripheral blood stem cell ...

In a move that's sure to please few--other than the bean counters at CMS--the agency said yesterday that it will be cutting fee-for-service rates for physicians, while boosting payments for office ...