Tag: Compliance

Understanding the Transition from HIS to HOPE: What Hospice Agencies Need to Know.Medicare-certified hospices will soon see a major shift in quality reporting standards. Beginning October 1, 2025, the Hospice Item Set (HIS) will be officially replaced by the HOPE...

CMS Announces Massive Expansion of Medicare Advantage Audits: What Healthcare Providers Need to Know.The Centers for Medicare & Medicaid Services (CMS) has recently announced a game-changing expansion of its Medicare Advantage (MA) audits strategy that will fundamentally...

Why “The Dusty Binder” Won’t Cut It: Preparing for Home Health Surveys in 2025.In an April 2025 Home Health Care News article, SimiTree’s own Lynn Smith, Senior Manager of Compliance and Regulatory, weighed in on a critical topic that continues to...

RCD Compliance: Essential Guidelines for Home Health Agencies.Medicare’s Review Choice Demonstration (RCD) fundamentally changes the landscape of home health reimbursement—a shift that directly impacts how agencies operate, document,...

Preparing for HOPE: Your Complete Guide to CMS’s New Hospice Assessment Tool.The Centers for Medicare & Medicaid Services (CMS) is implementing a major change in hospice documentation requirements. The Hospice Outcomes and Patient Evaluation (HOPE) tool...

Preparing for a Medicare Audit: A Checklist for Home Health Agencies.Medicare audits represent a defining moment for home health agencies, with the potential to significantly impact operational stability and financial health. As regulatory oversight...

Before and after: A survey guide for behavioral healthcare providers.Surveys can be stressful, but they offer healthcare providers the chance to look under the hood and figure out exactly where the engine of the organization needs a tune-up. A little...

Behavioral healthcare providers need to tighten clinical documentation for new RADV audits.Behavior health providers doing business with Medicare Advantage need to shore up their clinical documentation with greater diagnosis specificity and accurate documentation as they...