Jessica Zeff is responsible for leading regulatory compliance efforts across all Net Health products. She has more than 15 years of healthcare compliance experience in a range of healthcare settings. Jessica came to Net Health having led the compliance and privacy program at a health plan and working within Medicaid and Medicare program requirements. Prior to that, Jessica worked for England’s national healthcare regulator, assessing the safety and quality of healthcare provided in acute and community hospitals against established regulatory and clinical standards. As a result, Jessica is well versed in interpreting a range of complex regulatory frameworks and successfully implementing compliance requirements. Jessica graduated from the University of Pennsylvania, in Philadelphia, with a BA in English and Sociology. She then obtained an MSc in Political Science and a JD in Law in London, England. Jessica is also a member of HCCA.
For those of us who have any interactions with the Merit-Based Incentive Program (MIPS), January to March is a particularly busy time of year. Some of us are still working through 2021 documentation audits, checking calculations, collaborating with clinical data registries, and generally working towards making our 2021 MIPS submissions to CMS. At the same…
New information technology and changing expectations of healthcare delivery are quickly ushering in a new era of health information sharing. This is evident to all of us who use patient portals, telehealth, remote monitoring technology, electronic fitness monitoring devices, and any one or more of the health applications out there in the ether. There has…
If you’re reading this, you’re likely to have attended our recent webinars with Ellen Strunk founder of Rehab Resources and Consulting, Inc. and Rick Gawenda of Gawenda Seminars and Consulting, clarifying the substantive changes from the 2022 MPFS & QPP Final Rules. And if you were not able to attend, no worries, you can find…
There’s been a lot of excitement about Remote Therapeutic Monitoring (RTM) codes recently, rightfully so, but there’s also been a bit of confusion. The 2022 MPFS Final Rule approved five new general medicine codes (see below) for use by physical and occupational therapists and speech language pathologists in the RTM group. The rule also permits…
Rule Timeframe Released: July 29, 2021 Final Rules effective: October 1, 2021 Executive Summary The FY 2022 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) Final Rule updates payment policies and rates for IRF PPS facilities for FY 2022. CMS is using the same methodology to update the FY 2022 rates as was used for…
Executive Summary The FY 2022 IPPS and LTCH-PPS Final Rule, released on August 2, 2021, updates Medicare programs, payment, and policies for acute care hospitals, long-term care hospitals, and other hospitals that may be excluded from the IPPS. With the finalized rule, CMS estimates inpatient hospital payments will increase by $2.3 billion for FY 2022,…
New rules and policy changes are certainly keeping the hospice sector busy. First, the moratorium on hospice sequestration and now the 2022 Hospice Payment Rate Final Rule! Your compliance eyes and ears here at Net Health have had their noses to the ground (or, rather, nose to the regulatory grindstone) and we’ve put together a…
CMS released the FY 2022 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule on July 29, 2021 and there were no real surprises for those of us familiar with the 2022 proposed rule. Key Takeaways The final rule confirmed payment updates for skilled nursing facilities which will result in an estimated $410 million…
Executive Summary The CY 2022 Medicare Physician Fee Schedule (PFS) Proposed Rule was released on July 13, 2021. This rule addresses annual payment updates and provision and policy changes that affect payment under the Physician Fee Schedule and Medicare Part B. These policies generally affect physicians and other providers of outpatient services in a variety…
Executive Summary The Center for Medicare & Medicaid Services (CMS) for CY 2022 will be focusing on fulfilling requirements of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which includes setting performance thresholds at either the mean or median of the final scores for all MIPS eligible clinicians for the previous performance period….