Category: Five-star quality rating system

IMPACT Act Standardized Assessment Data: Comments due August 26

Public comments are due August 26 on standardized assessment-based data items developed under the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) to meet the domains of: cognitive function and mental status; special services, treatments, and interventions; medical conditions and co-morbidities; and impairments. CMS seeks comments on: Potential for improving quality Utility for […]

Join us for a Skilled Nursing Facility Volume- to Value-Based Reimbursement Boot Camp!

Join us on 10/10/16 – 10/11/16 in Davidson (Charlotte), NC Building solid operational and clinical processes is key for skilled nursing facilities (SNF) to stay compliant under the numerous Centers for Medicare & Medicaid Services (CMS) regulatory changes effective October 1. The evolving “volume to value” industry landscape brings with it more accountability, higher outcome […]

CMS Updates Nursing Home Five-Star Quality Ratings

New quality measures are now included in the overall calculation for Nursing Home star ratings Today, August 10, 2016, the Centers for Medicare & Medicaid Services (CMS) updated the popular Nursing Home Compare Five-Star Quality Ratings to incorporate new measures, giving families more information at their fingertips to help them make important decisions about care. […]

CMS is seeking technical expert panel members for QMs

CMS is currently soliciting nominations for technical expert panel members for quality measures developed under the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) to meet the domain of the transfer of health information and care preferences. The quality measures, Transfer of Information at Post-Acute Care Admission, Start, or Resumption of Care from […]

SNFs: Final FY 2017 Payment and Policy Changes

On July 29, CMS issued a final rule (CMS-1645-F) outlining FY 2017 Medicare payment policies and rates for the Skilled Nursing Facility (SNF) Prospective Payment System (PPS), the SNF Quality Reporting Program (QRP), and the SNF Value-Based Purchasing (VBP) Program. CMS projects that aggregate payments to SNFs will increase in FY 2017 by $920 million, […]

2017 ICD-10-CM and ICD-10-PCS Files Available

The 2017 ICD-10-CM and ICD-10-PCS code updates, including a complete list of code titles, are available on the 2017 ICD-10-CM and GEMs and 2017 ICD-10-PCS and GEMs webpages. The posted files contain the complete versions of both ICD-10-CM (diagnoses) and ICD-10-PCS (procedures). 2017 General Equivalence Mappings (GEMs) will be posted in August 2016 Official Coding […]

Medicare Makes Enhancements to the Shared Savings Program to Strengthen Incentives for Quality Care

On June 7th, the Centers for Medicare & Medicaid Services (CMS) released a final rule improving how Medicare pays Accountable Care Organizations in the Medicare Shared Savings Program for delivering better patient care. Medicare is moving away from paying for each service a physician provides towards a system that rewards physicians for coordinating with each […]

CMS releases the first ever Public Use File for the Medicare Current Beneficiary Survey (MCBS)

The MCBS 2013 Access to Care public use file (MCBS PUF) provides the first publicly available MCBS file for researchers interested in the health, health care use, access to and satisfaction with care for Medicare beneficiaries, while providing the very highest degree of protection to the Medicare beneficiaries’ protected health information.  Celebrating 25 years of […]

Updates Increase Transparency of the Medicare Program

On May 12, 2016, CMS posted the third annual release of the Physician and Other Supplier Utilization and Payment public use data.  In addition, CMS is announcing the availability of more timely data for researchers. The Physician and Other Supplier Utilization and Payment data contains summarized information on Part B services and procedures provided to […]