Tag: CMS

Fully risk-based payment models likely to decrease, CMS official says

Those working in healthcare should not expect many more fully risk-based payment models from the Center for Medicare and Medicaid Innovation (CMMI), CMS Chief Operating Officer Jon Blum said during the National Association of Accountable Care Organizations’ fall conference. “I don’t think that CMS will be promoting models that have more risk just for the […]

CMS hosting Hospice Quality Reporting Program forum

CMS will be hosting a webinar on the Hospice Quality Reporting Program at 2 p.m. on Tuesday, Oct. 19, 2021. Officials will share updates on new claims-based measures included in the HQRP as part of the FY2022 Hospice Final Rule. Subject mater experts will address the quality measures specifications user’s manual and the QM report […]

Flu season comes with CMS reminder on shots

While the focus has been on the COVID-19 vaccine shots and boosters this season, it’s also time for annual flu shots. CMS is reminding providers that reducing the spread of respiratory illness, like flu, this fall and winter is important during the COVID-19 pandemic. Medicare Part B covers one flu shot per flu season and […]

OIG: CMS should offer agencies more infection control guidance

CMS should develop and share more information on COVID-19 infection prevention and control best practices that home health providers can use to comply with requirements and guidance, according to a new report from the Department of Health and Humans Services Office of Inspector General (OIG). Six of eight home health agencies recently audited by the […]

Is your SNF prepared for an emergency?

In a year that’s been rife with disasters, including fires, hurricanes, and heat waves, it’s as important as ever for SNFs to brush up on their emergency preparedness plan. CMS’ emergency preparedness (EP) final rule, was enacted November 16, 2016. Appendix Z of the State Operations Manual provides interpretive guidance to the final rule that […]

CMS to launch new tool that compares nursing home vaccination rates

CMS has announced a new tool that will be available on medicare.gov that will allow users to view vaccination rates of staff and residents at nursing homes. “CMS wants to empower nursing home residents, their families and caregivers with the information they need when choosing care providers for their loved ones. As we continue to […]

CMS will pay for COVID-19 booster shots

Following the FDA’s recent action that authorized a booster dose of the Pfizer COVID-19 vaccine for certain high-risk populations and a recommendation from the CDC, CMS will continue to provide coverage for this critical protection from the virus, including booster doses, without cost sharing, according to a news release Sept. 24. The CDC recommends that […]

CMS survey seeks input on billing guidance and other resources

A new survey from CMS is looking to see what resources providers are using to understand the Medicare program and help them bill correctly. The survey is for providers or staff who provide services to people with Medicare and/or bill the Medicare program. The results are expected to help CMS improve your experience with resources […]

CMS updates guidance on certain NOA reporting

On Sept. 10, 2021, CMS provided updated guidance on certain claims as agencies transition from the monthly RAP to a one-time Notice of Admission (NOA) in 2022. As previously noted by CMS, for beneficiaries receiving home health services in 2021 whose services will continue in 2022, the agency will need to submit a one-time, artificial […]

HHS prepares $25.5 billion in pandemic aid to providers

The Department of Health and Human Services (HHS) will make $25.5 billion available to health care providers impacted by the pandemic, with the application period opening Sept. 29. This funding includes $8.5 billion in American Rescue Plan (ARP) resources for providers who serve rural Medicaid, Children’s Health Insurance Program (CHIP) or Medicare patients, and an […]