Tag: CMS

CMS releases SNF Provider Preview Reports

CMS recently released the updated SNF Provider Preview Reports. Based on quality data submitted by SNFs, the reports include assessment-based quality measures recorded between Q1 2018 and Q4 2018 and claims-based quality measures recorded between Q4 2016 and Q3 2018. SNFs have the opportunity to review their performance data until September 16. While corrections to […]

CMS posts webinar on Primary Care First Seriously Ill Population Model

CMS has set out to provide further information regarding the Primary Care First (PCF) Seriously Ill Population (SIP) model option with a two-part webinar series, hosted by the PCF Model Options Team. The model “encourages advanced primary care practices, including providers whose clinicians are enrolled in Medicare who typically provide hospice or palliative care services,” […]

OIG releases new report, prompting CMS to publish new fact sheet for 3-day rule

The HHS Office of Inspector General (OIG) has released the “Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs: Top Unimplemented Recommendations” which includes eight recommendations to CMS regarding Medicare Parts A and B: CMS should analyze the potential impacts of counting time spent as an outpatient toward the 3-night requirement for skilled nursing […]

CMS issues new SNF PPS Final Rule for 2020

On July 30 CMS issued a final rule updating the payment rates under the prospective payment system (PPS) for SNFs. The rule, designed to increase aggregate payments to SNFs by $851 million in 2020 compared to 2019, will go into effect on October 1. This rule includes three main revisions: The rule includes minor changes […]

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 […]

Payroll data shows self-reported staffing data inflated

A new study published by yesterday afternoon shows that about 75% of nursing homes in this country are understaffed, and that levels self-reported by nursing home administrators used in the CASPER system were higher than payroll data. Researchers examined 15,399 nursing homes from April 2017 through March 2018. They found that RNs are often missing […]

CMS announces delay in posting preview reports for October 2019 refresh

Provider preview reports and star ratings preview reports for the October 2019 Home Health Compare refresh will be delayed until early July. CMS announced the delay on its website June 24. Preview reports for the October refresh were expected July 3. The delay is due to CMS efforts to align display of two measures what […]

Agencies have another chance to recommend CMS make changes to reduce burden

Agencies seeking for burden reductions in the home health or hospice industries should submit comments on CMS’ new request for information (RFI) as part of the patients over paperwork initiative. CMS posted the RFI on June 11, and agencies have 60 days from then to comment. “CMS is committed to transforming the health care delivery […]