Tag: CMS

New test for sepsis reveals diagnosis in one hour

Nursing home residents might benefit from a new way of diagnosing and treating sepsis made possible by a recent discovery out of the University of British Columbia. The test, which would look for a gene signature identified by the UBC researchers, could cut the current 24- to 48-hour diagnosis time down to about an hour. […]

CMS makes first wave of drug & device company payments to teaching hospitals and physicians public

As part of an ongoing effort to increase transparency and accountability in health care, the Centers for Medicare & Medicaid Services (CMS) released today the first round of Open Payments data to help consumers understand the financial relationships between the health care industry, and physicians and teaching hospitals. This release is part of the Open […]

Ask our Experts about Medicare Advantage: Claims and Denials

Do you have a question about a Medicare Advantage claim or a denial? Do you have issues or concerns specifically regarding Medicare Advantage? Ask it here, and have it answered by our Medicare experts! Leave a question in the comments, or email managing editor Olivia MacDonald @ omacdonald@hcpro.com.

ACO bill would waive 3-midnight rule for SNFs

Certain Accountable Care Organizations would be able to send Medicare beneficiaries to a skilled nursing facility without a prior hospital stay under a bipartisan bill recently introduced in the House of Representatives. If the bill passes, these ACOs would be exempt from the rule that a beneficiary has spent three midnights as a hospital inpatient […]

New national strategy to combat antibiotic-resistant bacteria

The Obama administration has unveiled a national strategy to combat antibiotic-resistant bacteria. It includes an executive order to direct the federal government to reduce the emergence and spread of antibiotic-resistant bacteria and to help ensure the continued availability of effective treatments for bacterial infections. The announcement was released in connection with the President’s Council of […]

LTC providers asked to reduce antipsychotic medications by 30% by 2016

Long-term care providers are being asked to reduce the use of antipsychotic medications among residents by 25% by the end of 2015, and 30% by the end of 2016. The goal was announced on September 19th by The National Partnership to Improve Dementia Care, a public-private coalition that includes the Centers for Medicare & Medicaid […]

LTC worker flu vaccination rates remain low

Long-term care workers continued to have low rates of flu vaccination last season, despite there being 92% vaccination coverage overall among physicians and nurses, according to the CDC’s FluVaxView website. Coverage for nurses overall increased by 5%, from 2013-2014 to 90.5%, and pharmacists were around 86%. Long-term care professionals had a 63% rate, which is […]

CMS releases updated version of the Minimum Data Set manual

The Centers for Medicare & Medicaid Services released an updated version of the Minimum Data Set 3.0 Resident Assessment Instrument manual Monday. Changes to this crucial long-term care manual were not as sweeping as last year. Among the changes, Section A has been updated with regard to resident admission/readmission dates. Section S includes new questions that […]

Ask the expert: COT

Q:  Regarding the COT count:  Is it correct that once a rehab RUG is no longer achieved that the 7 day COT count stops and does not begin again until 7 days following the next scheduled PPS Assessment. I was just told in a seminar on the new PPS Final Rule that the above is true, […]

AHCA pushing for CMS to urge Congress for LTC changes

The Centers for Medicare & Medicaid Services should openly urge Congress to change the way therapy services are reimbursed, The American Health Care Association/National Center for Assisted Living (AHCA) stated in recent written comments to CMS Administrator Marilyn Tavenner. AHCA pressed for three changes in particular, including: Repealing arbitrary Part B therapy caps that limit […]