Tag: admission

CJR has launched

On April 1, CMS launched the Comprehensive Care for Joint Replacement Model (CJR)–a major step toward transforming care delivery in Medicare. This model looks to improve care and quality for the most common procedures that Medicare beneficiaries have, hip and knee replacements. In 2014, more than 400,000 Medicare beneficiaries received a hip or knee replacement, […]

New payment model test for nursing facility care aims to reduce avoidable hospitalizations

On March 24th, the Centers for Medicare & Medicaid Services (CMS) launched a new effort to improve care for nursing facility residents. The Centers for Medicare & Medicaid Services (CMS) will test whether a new payment model for nursing facilities and practitioners will further reduce avoidable hospitalizations, lower combined Medicare and Medicaid spending, and improve the […]

CMS releases Skilled Nursing Facility utilization and payment data

On March 9th, the Centers for Medicare & Medicaid Services (CMS) released a public data set that provides information on services provided to Medicare beneficiaries by skilled nursing facilities (SNFs).  The Skilled Nursing Facility Utilization and Payment Public Use File (SNF PUF) contains information on utilization, payments, and submitted charges organized by provider, state, and […]

CMS proposes to test new Medicare Part B prescription drug models to improve quality of care

On March 8th, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule to test new models to improve how Medicare Part B pays for prescription drugs and supports physicians and other clinicians in delivering higher quality care. Medicare Part B covers prescription drugs that are administered in a physician’s office or hospital […]

CMS has released Next Steps Toolkits to help providers track ICD-10 progress

The Centers for Medicare & Medicaid Services (CMS) has released the Next Steps Toolkit to help providers track and improve ICD-10 progress. This new, in-depth toolkit includes information and resources on how to: Assess ICD-10 progress using key performance indicators to identify potential productivity or cash flow issues Address opportunities for improvement Maintain progress and keep up-to-date […]

As observation stays become widely used, SNFs begin to worry

Hospital readmissions are decreasing, which may be the result of an increase of hospitals classifying return hospital visits as observation stays, rather than admissions, leaving the SNF leaders worried about the financial impact this shift will have in the long-term care community. Because observation stays do not count as an admission; rather they count as […]

ICD-10 Transition Moves Forward

On November 4, 2015, The Centers for Medicare & Medicaid Services (CMS) announced that it has been carefully monitoring the ICD-10 transition and is pleased to report that claims are processing normally. You can find information about the first month of Medicare Fee-For-Service claims processing in this CMS Fact Sheet. Keep Up to Date on […]

Leading Age is next week!

Heading to Leading Age in Boston? Come meet HCPro author, Kelly Papa, who wrote Effective Nurse Leadership: Transforming Long-Term Care at her session, Building a Learning Organization, on Wednesday, November 4th, at 12:00-1:30. During this session, Papa will explore how to: Recognize the role of leaders in building trusting relationships and bringing clarity to an […]

CMS hosting special open door forum

Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum on Thursday, October 8, 2015 from 2:00-3:00 EST to discuss the upcoming Dry Run for LTCH Provider Performance Reports on All-Cause Unplanned Readmissions for 30-Day Post Discharge from Long-Term Care Hospitals (LTCHs). The purposes of this Special Open Door Forum are: […]

CMS releases final rule simplifying EHR incentive programs

On October 6, 2015, the Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) released final rules that simplify requirements and add new flexibilities for providers to make electronic health information available when and where it matters most and for health care providers and consumers to […]