A bipartisan group of Congress members sent a letter to CMS administrator Seema Verma, urging that the proposed Medicaid Fiscal Accountability Regulation be revised or withdrawn entirely. The Congress members warn that the rule would restrict certain tax exemptions and discounts for some CCRCs. The letter, signed by 27 members of Congress, concludes: We do […]
CMS is offering web-based training on existing requirements and changes coming to the Home Health Quality Reporting Program. The trainings apply to home health as well as Inpatient Rehabilitation Facilties (IRFs), Long-Term Care Hospitals (LTCHs) and Skilled Nursing Facilities (SNFs). The course should take about 15 minutes. Training topics include: Overview of the IMPACT Act; […]
CMS has issued an update to the Medicare Benefit Policy Manual for home health. The update reflects policy changes finalized in the 2019 and 2020 PPS final rules, according to Change Request 11577. These changes include implementation of the Patient-Driven Groupings Model (PDGM), the shift to a 30-day payment period, changes to requests for anticipated payment […]
CMS is working to incorporate new improvements to Home Health Compare and other Compare tools to help patients find health care providers in various settings around the care continuum. Currently, when users visit Medicare.gov, they have eight different Compare tools to go to — Hospital, Nursing Home, Home Health, Dialysis Facility, Long-term Care Hospital, Inpatient […]
CMS has published the FY 2022 SNF Annual Payment Update (APU) table, which describes the data elements CMS will use for FY 2022 SNF QRP APU determinations. The file, named “FY-2022-SNF-QRP-APU-Table-for-Reporting-Assessment-Based-Measures-and-SPADEs-Finalized.pdf” can be found in the downloads section of the SNF Quality Reporting Program Measures and Technical Information webpage.
A lawsuit filed last week by sb2 Inc. on behalf of 12 independent SNFs alleges that CMS published unconfirmed negative claims onto Nursing Home Compare before the SNFs were able to contest them, leading to lower star ratings and penalties for certain SNFs. The lawsuit cites a violation of SNF rights to contest claims against […]
CMS published the FY 2022 SNF Annual Payment Update (APU) Overview Table that indicates data elements to be used for FY 2022 QRP APU determinations. The file, named “FY-2022-SNF-QRP-APU-Table-for-Reporting-Assessment-Based-Measures-and-SPADEs-Finalized.pdf” is located in the downloads section of the SNF QRP webpage.
CMS has again released a change request outlining the Patient-Driven Groupings Model (PDGM) split implementation, this time to include correct RAP percentages for 2020. On Dec. 20, CMS first reissued change request 11081 to reflect issues that were identified and resolved ahead of PDGM implementation. That update, however, mistakenly included the incorrect RAP percentages for […]
The latest release of CMS OASIS quarterly Q&As delves into issues around the Patient-Driven Groupings Model (PDGM) as well as M items capturing activities of daily living (ADLs) and GG items capturing mobility and self-care. The January 2020 Q&As — published to the CMS website Jan. 21 — include 20 questions and responses on a range of topics. PDGM […]
CMS has released an updated operational guide and frequently asked questions (FAQs) on the home health Review Choice Demonstration. The FAQs were updated Jan. 6 and include new questions related to the Patient-Driven Groupings Model (PDGM) which took effect Jan. 1. In one of these FAQs, CMS explains that agencies should not use the same Unique […]