Tag: CMS

CMS offers support to Texas SNFs during winter storms

The state of Texas has been devastated in recent weeks by a winter storm that has led to freezing weather, and state-wide rolling blackouts. In an attempt to offer support to SNFs affected by the winter storm, CMS is offering support in the following areas: Medical equipment and supplies replacements: Under the COVID-19 waivers, CMS […]

CMS reminding hospice providers to address deficiencies in quality of care

CMS has created a fact sheet to show hospice providers how to create an effective plan of care. The agency notes an Office of Inspector General (OIG) report in 2019 found most hospices have at least one deficiency when it comes to their quality of care. The fact sheet is expected to help hospice providers […]

CMS offers billing instructions for COVID-19 vaccine administration

CMS has released information on Medicare billing for COVID-19 vaccine shot administration. Here are some things to keep in mind from CMS: You’ll be able to bill on single claims for COVID-19 shot administration or submit claims on a roster bill for multiple patients at one time. When COVID-19 vaccine doses are provided by the […]

CMS moving ahead with Hospice Care Index measures

CMS is moving ahead with the development of a new quality measure for hospice providers. First announced in August 2020, the Hospice Care Index (HCI) is moving toward National Quality Forum endorsement, CMS officials announced during an open-door forum Jan. 26. The new hospice index will measure 10 indicators that include “hospice provided no continuous […]

CMS to remove MCD advanced search function

The advanced search function of the Medicare coverage database (MCD) application will be removed April 30th, as announced in a release from CMS. All of the features related to the advanced search were incorporated into the new search function, released in September 2020. CMS recommends switching to the new advanced search now and reminds that […]

Biden names acting administrator for CMS

The Biden administration has named Liz Richter the acting administrator for CMS. Richter has served since 1990 and most recently served as deputy director of the Center for Medicare, according to CMS. Richter began in the Bureau of Policy Development working on inpatient hospital payment policy. She later worked on a variety of Medicare payment […]

CMS launches platform for SNF waiver requests and PHE inquiries

CMS launched a platform to standardize Section 1135 waiver requests and Public Health Emergency (PHE)-related inquiries on January 11. This tool is expected to streamline how SNFs submit waiver requests and inquiries, and how CMS reviews the submitted information. With very limited exception, all 1135 waiver requests and/or PHE-related inquiries going forward should be submitted […]

CMS announces expansion of Home Health Value-Based Purchasing Model

CMS will expand the Home Health Value-Based Purchasing (HHVBP) Model, officials announced January 8, 2021. Currently implemented in nine states, the model has saved Medicare an average of $141 million annually, with an average improvement in quality scores of 4/6%, according to a news release. The HHVBP Model adjusts payments to agencies based on quality […]

CMS unveils new quality measures under consideration

CMS unveiled new quality measures under consideration for nursing homes shortly before Christmas. While some previously implemented measures have been updated, there are several new measures focused on the COVID-19 pandemic, and vaccinations in healthcare settings. The new measures under consideration, as outlined by CMS, include: Five outcome measures (measures that focus on the results […]

CMS unveils new model for Medicaid Managed Care Organizations

CMS’ Center for Medicare & Medicaid Innovation has an opportunity for Medicaid Managed Care Organizations (MCOs) to participate in the Global and Professional Options of the Direct Contracting Model. The model seeks to encourage “Medicaid MCOs to partner with providers and suppliers and implement care coordination programs that can improve quality and reduce Medicare fee-for-service […]