Telehealth Reset: What September 30, 2025 Means for Compliance and Care

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When Mrs. Smith’s twice-weekly home telehealth check-ins stopped being clearly reimbursable, her clinic had only a few hours to figure out whether visits should move to in-person or risk denied claims. That is the real-world choice facing thousands of clinicians and compliance teams now that the Public Health Emergency (PHE) telehealth flexibilities waiver has expired due to no resolution and a government shutdown at midnight on September 30, 2025. Congressional actions failed to pass H.R.…

Understanding the CMS Signature Compliance for SNFs

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Signature compliance isn’t just about meeting a technical requirement. For Skilled Nursing Facilities (SNFs), it plays a direct role in ensuring Medicare reimbursement, defending claims during audits, and supporting timely, appropriate patient care. Facilities need to pay close attention to the Centers for Medicare & Medicaid Services (CMS) signature requirements. What CMS Requires: Timely, Accurate, and Verifiable Signatures CMS has long required that signatures on medical records be complete, legible, and timely. In most cases,…

Strengthening Medical Director Roles in Skilled Nursing: A Timely Look Ahead

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Medical directors are central to the clinical integrity of skilled nursing facilities—but how involved are they, really? While federal regulations outline specific responsibilities, there’s growing concern that the roles of medical directors are inconsistently defined, poorly documented, or limited in practice. In response, the U.S. Department of Health and Human Services (HHS), through its Office of Evaluation and Inspections (OEI), has launched a federal review to assess how medical directors are engaged—and how that engagement…