Category: News

CMS/AMA Joint Announcement and Guidance Regarding ICD-10 Flexibilities

Updates to the Clarifying Questions and Answers Related to the July 6, 2015 CMS/AMA Joint Announcement and Guidance Regarding ICD-10 Flexibilities are available. Many resources remain to help providers with ICD-10 questions. Please refer to the CMS ICD-10 webpage for informational resources. A step-by-step resource list is also available to help you quickly locate important […]

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. […]

Digital Standards and Operating Rules adopted by HHS under HIPAA

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required HHS to establish digital standards for business-related tasks like submitting claims and getting paid. The goal is to reduce paperwork and streamline business processes across the health care system. Standards allow information to be shared digitally in consistent ways. With common standards for content […]

Affordable Care Act payment model continues to improve care, lower costs

On August 9, the Centers for Medicare & Medicaid Services (CMS) released a new analysis demonstrating that the Independence at Home Demonstration continues to provide high quality primary care services for chronically ill Medicare beneficiaries in the home setting while saving the Medicare program money. The Independence at Home Demonstration is a patient-centered model that […]

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, […]

Medicare announces participants in effort to improve access, quality of care in rural areas

On August 4th, the Centers for Medicare & Medicaid Services (CMS) announced the participants in the Frontier Community Health Integration Project (FCHIP) Demonstration, an effort to increase access to care for Medicare beneficiaries in areas of the country where access to health services can be limited because of distance from providers. Ten critical access hospitals […]

Final FY 2017 Medicare Payment and Policy Changes for Inpatient Psychiatric Facilities

On July 28, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a notice updating fiscal year (FY) 2017 Medicare payment policies and rates for the Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS).  The updates for FY 2017 are summarized below. SUMMARY OF PAYMENT UPDATES Update to IPF Payments:  CMS estimates IPF payments […]