Category: Regulations

SNF FY2021 Proposed Payment Rule

We talked to SNF industry expert Reg Hislop on the SNF FY2021 proposed payment rule. Post-Acute Advisor · SNF FY 2021 Propod Subscribe via SoundCloud or iTunes.

CMS issues SNF best practices “toolkit” to combat COVID-19

On May 13, CMS released a new toolkit developed to aid nursing homes, Governors, states, departments of health, and other agencies who provide oversight and assistance to these facilities, with additional resources to aid in the fight against the coronavirus disease 2019 (COVID-19) pandemic within nursing homes. The 74-page document includes guidance on: State Actions […]

New Post-Acute Advisor Podcast: SNF Reimbursement and Billing during COVID-19

With us today is Reta Underwood. Reta is a Medicare Specialist and president of CLTC, a national long-term care consulting firm based in Kentucky. Today, we’ll be talking about revenue cycle disruption in SNFs due to the pandemic. We talk about CMS’ COVID-19  FAQ doc – download it now. Post-Acute Advisor · SNF Reimbursement and […]

SNF infection control and PPE compliance an issue; White House issues new, immediate guidance

The Centers for Medicare & Medicaid Services (CMS) issued new recommendations to SNFs, as well as state and local governments. According to a CMS press release, these recommendations were developed as CMS “worked hand-in-hand with the CDC.” During an initial wave of surveys conducted the week of March 30, CMS found that 36% of facilities […]

CMS suspends restrictions on care venues as providers tackle COVID-19 surges

The Trump Administration has suspended regulatory barriers and will now allow hospitals to clear precious bed capacity by triaging non-COVID-19 patients in thousands of ambulatory surgery centers, rehab hospitals, and even hotels and college dorms. The sweeping “Hospitals Without Walls” initiative takes effect immediately, will last through the duration of the pandemic, and allows hospitals […]

CMS to exclusively focus surveys on infection control, other serious safety threats

CMS announced this week that, effective immediately, state survey agencies and accrediting organizations will suspend all non-emergency inspections across the country to allow inspectors to turn their focus toward infection control and other serious threats to safety, such as abuse. This change is in direct response to the threat COVID-19 spread. CMS is also issuing three […]

CMS releases additional infection control guidance in light of COVID-19

The Centers for Medicare & Medicaid Services sent out a notice today regarding extra infection control guidance in light of COVID-19. An outbreak of the virus at Life Care in Kirkland, Wash. that resulted in seven deaths with eight sick has prompted SNFs to take notice and CMS to issue new guidance that includes specific […]

CMS releases next draft MDS item set

A new DRAFT version of the 2020 MDS item sets (v1.18.0) was posted on December 20, 2019. This version is scheduled to become effective October 1, 2020. Section G has been removed from all Federal item sets. This section most notably helps facilities calculate quality measures.

Proposed rule aims to make CMP waiver process standard

In its proposed rule released this week, CMS aims to eliminate the requirement for facilities to actively waive their right to a hearing in writing. Instead, there would be a waiver process that would operate by default when CMS has not received a timely request for a hearing. The 35% penalty reduction would remain. According […]

Key takeaways of the new proposed rule

On July 17 CMS announced a proposed rule that would delay Phase 3 requirements, including QAPI and ethics and compliance standards. These changes, fueled by the Trump administration, will modify previous rules set forth between October 2016 and June 2017. CMS-3347-P The first proposed rule, Medicare & Medicaid Programs; Requirements for Long-Term Care Facilities: Regulatory […]