Industry Notes

Why This Topic Matters

These updates affect how organizations document visits, report services, stay aligned with Medicare requirements, and monitor compliance risk. The article helps readers identify which operational areas may need review after CMS guidance changes or enforcement activity.

Article Sections

1. CMS Allows TCM Code Reporting for Both New and Established Patients

   CMS guidance on transitional care management billing, including Medicare-related timing, claim-processing, and patient-eligibility topics. The section focuses on general TCM policy updates and related CMS communication.

2. CMS Grants ‘CLIA-Waived’ Status to 9 Lab Tests

   A CMS update on laboratory tests newly recognized under CLIA-waived status. The section discusses the affected test category, supporting administrative guidance, and related modifier use in general terms.

3. Physician Partners Can’t Sign F2F

   Home health face-to-face documentation guidance from a Medicare contractor. The section highlights documentation expectations and acceptable form considerations for compliance review.

4. Alabama HHA Settles Whistleblower Suit For $150K

   A reported enforcement and settlement story involving home health billing practices, whistleblower allegations, and a corporate integrity agreement. The section provides compliance and audit context for agency leadership.