Tag: CMS

CMS to flag SNFs with abuse citations on Nursing Home Compare

CMS announced October 7 its intent to display warning icons on the Nursing Home Compare website for SNFs with abuse citations. Beginning October 23, a red circle (see below) will appear on the individual pages for SNFs that received an abuse citation within the last year. SNFs that receive the abuse icon will also be […]

CMS requiring hospitals to disperse SNF quality data to patients

CMS released a final rule on September 26 requiring hospitals to provide SNF quality reports to patients at discharge. These reports should include information about SNFs such as quality measures, star ratings, and readmission rates. To avoid favoritism, hospitals cannot legally recommend a preferred SNF to patients, so patients are often forced to locate a […]

CMS finalizes discharge rule and clarifies points about aide competency testing

The long-awaited final discharge planning rule, released today, appears to offer some good news for home health agencies. And simultaneously CMS clarifies in a separate rule that pseudo-patients are OK to be used for home health aide competency testing, an issue there has been a lot of questions about. CMS states in the rule that […]

CMS announces decline in 2020 Medicare Advantage premiums

CMS announced September 24 that “Medicare Advantage [MA] premiums in 2020 are expected to decline 23% from 2018 while plan choices, benefits and enrollment continue to increase.” This average monthly premium will be the lowest rate in 13 years. Accompanying this announcement, for the first time in a decade, a new Medicare Plan Finder was […]

CDC releases fact sheets to help discuss pain management, risks of opioids

Four new fact sheets have been released by the Centers for Disease Control and Prevention (CDC) to aid a discussion between patients and providers about pain management options and possible risks of opioid medication. The fact sheets are designed to help providers talk with patients about acute pain, chronic pain, prescription opioids and reducing risk […]

MDS 3.0 RAI Manual Update

The new version of the MDS 3.0 RAI Manual, v1.17.1 are effective October 1, 2019 and  incorporates clarifications to existing coding and transmission policy; it also addresses clarifications and scenarios concerning complex areas. This version of the MDS 3.0 RAI Manual incorporates clarifications to existing coding and transmission policy; it also addresses clarifications and scenarios […]

CMS to hold SNF/LTC Open Door Forum

CMS will hold an open door forum on September 19 for SNFs and LTCs. Discussions will focus on: PDPM updates PBJ updates Policy Questions should be sent to: NHStaffing@cms.hhs.gov Technical Issues/Questions should be sent to: NursingHomePBJTechIssues@cms.hhs.gov PBJ Website MS-6058-FC Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process SNF […]

CMS final arbitration rule now in effect

The CMS final arbitration rule debuted earlier this summer went into effect September 16. The new rule redacts the 2016 ban on binding arbitration agreements put forth by the Obama administration. SNFs once more have the ability to use binding arbitration agreements, albeit with some conditions: Agreements cannot be signed as a term of admission […]

Despite evacuation orders, some SNFs decide to stay

As of September 2, nearly 100 nursing homes and SNFs have evacuated on the eastern coast of Florida. But while Governor Brian Kemp has issued a mandatory evacuation for 21 counties on the Georgia, coast, about half of SNFs and nursing homes in the area have decided to shelter-in-place, according to the Georgia Department of […]