American Jobs Plan includes $400B for home care

Home care could see a significant increase in federal spending if Congress approves the $2 trillion economic package offered by President Joe Biden on March 31. If approved as introduced, the American Jobs Plan would include $400 billion “toward expanding access to quality, affordable home- or community-based care for aging relatives and people with disabilities,” […]

New survey results look at pandemic impact on health care workers

On Tuesday, April 6, the Kaiser Family Foundation and The Washington Post released more survey results from conversations with 1,327 frontline health care workers, including more than 290 working in the home. Participants were surveyed Feb. 11- March 7, 2021. And while most health care workers said their employer was “doing about the right amount” […]

Preview of Things to Come? Lawsuit Challenges Employer’s COVID-19 Vaccine Mandate

Access to COVID-19 vaccines continues to expand in the United States, and employers are navigating many questions about employee vaccinations and return to work. Current polling shows a substantial number of workers are hesitant about getting the shots or may refuse to be vaccinated against the virus. Now, a New Mexico employee has filed what […]

Corrections to errors made by Medicare systems April 1

Medicare systems corrected three errors on April 1 affecting the payment of CY2021 claims. The errors were: Claims spanning January 1 were applying CY2020 rates in error Late Request for Anticipated Payment (RAP) penalties were not applying to outlier amounts  Late RAP penalties were being applied after the Value-Based Purchasing (VBP) adjustment when the VBP […]

FMLA is Required HR Knowledge

Family and Medical Leave Act (FMLA) leave is a more complex topic than it may seem. Basically, for any eligible employee at a covered employer, up to 12 weeks of leave must be provided each year for a qualifying event or events. This may seem fairly straightforward, but administering FMLA leave can be fairly complicated. […]

CMS updates emergency preparedness survey guidance and pandemic best practices

CMS released updated guidance for surveyors related to emergency preparedness requirements on Friday, March 26, incorporating changes to the rules in recent years and lessons learned from the pandemic. The “Updated Guidance for Emergency Preparedness – Appendix Z of the State Operations Manual” detailed changes made through the Burden Reduction Rule (84 FR 51732) in […]

CMS releases updated Medicare COVID-19 snapshot

Updated COVID-19 snapshot data reveals that more than 2.7 million Medicare beneficiaries were diagnosed with COVID-19, and nearly 700,000 beneficiaries were hospitalized with COVID-19, between January 1, 2020 to December 26, 2020. Highlights from the latest snapshot include: Since the last snapshot released in January 2021, COVID-19 cases increased by more than 790,000 and hospitalizations […]

Senate vote keeps delay for sequestration cuts on track

A bill to delay 2% across-the-board Medicare payment cuts is heading back to the House after a key vote of support in the Senate on Thursday, March 25. Even though the signing of the bill will likely be delayed until mid-April, the 90-2 vote in the Senate will likely mean current Medicare payment rates will […]

Compliance tips for 2021

Industry expert Reg Hislop joins us to talk about top compliance issues for SNFs in 2021. Be sure to check out our deep dive into this topic on a May 11th webinar for Skilled Nursing Week. Listen on SoundCloud Listen on iTunes Connect Listen on Spotify

Latest RAP-related claims error involves placeholder HIPPS code

Some agencies are facing new payment issues related to the no-pay RAPs that began January 1, 2021. MACs Palmetto GBA and CGS, collectively responsible for claims in 31 states, have recently alerted agencies to a potential issue where Medicare’s system is sometimes not replacing the placeholder HIPPS code used to match RAPs and final claims. […]