Tag: CMS

Ask the expert: CMS-672 and CMS-802

Q: Is there a website that can tell me how and why things trigger on the CMS-672 and the CMS-802? A: Here are the URLs for completing the CMS-672 and CMS-802. http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads/CMS672.pdf http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads/CMS802P.pdf Included in the instructions are the triggers from the MDS form and also triggers from non-MDS items.

Antipsychotic drug use is down in nursing homes

On August 27, the Centers for Medicare & Medicaid Services (CMS) issued a press release announcing that new data shows that antipsychotic drug use is down in nursing homes nationwide. This data was found on Nursing Home Compare in July. CMS data shows that in 2010 more than 17% of nursing home patients had daily […]

CMS releases new article on dual eligible beneficiaries

The Centers for Medicare & Medicaid Services (CMS) released a new article titled “Effect of Long-term Care Use on Medicare and Medicaid Expenditures for Dual Eligible and Non-dual Eligible Elderly Beneficiaries”. The article finds that among dual eligibles and non-dual eligibles, the average number of diseases and case-mix scores are higher for long-term care (LTC) […]

GAO releases report on implementation of Manual Medical Review process

On July 10, the United States Government Accountability Office (GAO) released a report to Congress about the implementation of the 2012 manual medical review (MMR) for Medicare outpatient therapy. According to the report, in 2011, Medicare paid about $5.7 billion to provide outpatient therapy services for 48 million beneficiaries. This report describes the Center for […]

Changes coming to Nursing Home Compare

In a June 28 letter to state survey agency directors, the Centers for Medicare & Medicaid Services (CMS) advised the group that changes are coming to Nursing Home Compare. Starting in July 2013, the CMS will direct users of the Nursing Home Compare website to the data.medicare.gov website to download or view nursing home data. […]

CMS issues proposed rule to increase rewards for reporting of fraud and abuse

On Wednesday, CMS issued a proposed rule that would increase incentives for people to report information that leads to a recovery of funds from individuals and entities that have or are engaged in Medicare fraud and abuse. This proposed rule would also improve CMS’ ability to detect new fraud schemes, and help ensure that fraudulent […]

AHCA issues 2012 Annual Quality Report

The American Health Care Association (AHCA)  issued its annual Quality Report, which informs members, policymakers, and the public on advancements in quality care that stem from the more than 11,000 member facilities nationwide. “Improving Lives by Delivering Solutions for Quality Care” is the stated AHCA mission. In partnership with the National Center for Assisted Living, […]