Tag: CMS

The Medicare Care Choices Model (MCCM) will be extended by CMS for one calendar year

The Medicare Care Choices Model (MCCM) will be extended by one calendar year, through Dec. 31, 2021. The extension will enable more Medicare beneficiaries to access supportive care. This extension applies to hospices that have been participating in the model. New hospices will not be enrolled. For those hospices that are participating, they will be […]

Breaking news: CMS releases 2021 proposed payment rule: Telehealth is here to stay

CMS’ 2021 proposed PPS payment rule aims to make recently relaxed telecommunications requirements permanent beyond the public health emergency (PHE). That means regardless of the PHE, beginning Jan. 1, 2021, home health agencies can continue to use telecommunications as long as it “is related to the skilled services being furnished, is outlined in the plan […]

Innovation center models used by CMS for COVID-19

The Centers for Medicare & Medicaid Services (CMS) announced plans on June 2 to change some of the innovation center models to account for the COVID-19 public health emergency (PHE). As part of this announcement, CMS issued a table which has specific model adjustments related to financial methodologies, quality reporting and model timelines that are […]

CMS releases nursing home COVID-19 data and inspection results

The first round of COVID-19 data collected from nursing homes is now available on Nursing Home Compare. The data shows that as of May 31, about 13,600 (88%) of Medicare and Medicaid nursing homes had reported the required data to the CDC. Within these facilities, there are over 95,000 confirmed COVID-19 cases, and almost 32,000 […]

Upcoming webinar: Survey Success for Long-Term Care

During this 60-minute webinar, industry experts Reginald M. Hislop III, PhD, and Diane R. Hislop, RN, will review survey trends and help prepare providers for the new QIS-driven survey process. They will also teach participants how to develop a survey management program (including guidance for providing demonstrable evidence of compliance) and a cost-saving post-survey response […]

Trump administration announces enhanced enforcement on SNF infection control policies

The Trump Administration unveiled enhanced enforcement June 1 for SNF infection control policies amid COVID-19. SNFs will be subject to additional civil money penalties as well as enforcement by CMS for persistent survey deficiencies from targeted infection control surveys. “While many nursing homes have performed well and demonstrated that it’s entirely possible to keep nursing […]

CMS proposes amendment to the HHS-RADV program

CMS issued a proposed rule on May 29 to amend requirements for the U.S. Department of Health and Human Services’ risk adjustment data validation (HHS-RADV) program. The proposal includes changes to two technical aspects of the HHS-RADV program, the error rate calculation, and application of results. CMS outlines the changes in the newly published fact […]

CMS releases FAQs on Medicare fee-for-service billing

CMS released Frequently Asked Questions (FAQs) on Medicare fee-for-service billing. These FAQs are supplemental to those previously released by CMS in March. To view those, visit https://go.cms.gov/2yIS29R. CMS noted in the release that in many instances, the general statements of the FAQs referenced above have been superseded by COVID-19-specific legislation, emergency rules and waivers granted […]

OIG investigates COVID-19 response at nursing homes

The OIG announced a focused effort to investigate nursing home responses to COVID-19. One facet of the investigation will focus on auditing infection control efforts at nursing homes, while another will focus on CMS oversight efforts during the pandemic. “To reduce the likelihood of contracting and spreading COVID-19 at these nursing homes, effective internal controls […]

CMS updates hospice quality review program

CMS has released its updates for the first quarter (January to March 2020) Hospice Quality Reporting Program (HQRP). The update includes Hospice QRP requirements and information CMS gathered for the development of the Hospice Outcome & Patient Evaluation (HOPE) tool. Additionally, CMS has been recruiting hospice providers to participate in a HOPE field test (called […]