Tag: CMS

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 […]

CMS does not extend moratoria on new home health agencies in 6 metro areas

Source: Home Health Line CMS did not extend its moratoria on new home health agencies and new branches of existing home health agencies.The moratoria — which covered the metropolitan areas of Miami-Dade, Fort Lauderdale, Detroit, Dallas, Houston and Chicago — had been extended for several six-month periods because the risk of fraud and abuse persists […]

CMS works with states, facilities to identify and address potential cases of inadequate staffing

CMS released a memo today regarding staffing in nursing facilities: Today, the Centers for Medicare & Medicaid Services (CMS) announced actions that will bolster nursing home oversight and improve transparency in order to ensure that facilities are staffed adequately to provide high-quality care. These actions include sharing data with states when potential issues arise regarding […]

Providers worry that proposed rule could cut Medicaid revenue

Source: Bottom Line The CMS is drafting a proposed rule that would give states greater flexibility in paying (or not paying) for non-emergent medical transportation (NEMT) for Medicaid beneficiaries. This proposed rule aligns with CMS’ repeated intentions to create “a new era for the federal and state Medicaid partnership where states have more freedom to […]

CMS posts latest release of Public Use File

by Home Health Line. CMS has posted the latest Home Health Agency Public Use File (PUF), with data from 2016. The PUF contains information on home health utilization, payment, submitted charges and demographic and chronic condition indicators organized by CMS Certification Number, Home Health Resource Group and state of service. Data cover 2013-16 and contain […]