Tag: CMS

Lawmakers call on CMS to revise or withdraw proposed rule

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to CMS administrator Seema Verma, urging that the  proposed Medicaid Fiscal Accountability Regulation be revised or withdrawn entirely.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 […]

New training on home health quality reporting program requirements now available

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 makes changes to Medicare Benefit Policy Manual for home health

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 […]

Big changes coming to Home Health Compare ‘later this year’

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 releases FY 2022 SNF APU overview table

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.

Change request outlining PDGM implementation corrected

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 […]

CMS’ January release of quarterly OASIS Q&As offer guidance on PDGM, function items

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 releases updated FAQs on the Review Choice Demonstration

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 […]