Tag: Medicare Part B

CMS announces special surveys on dementia care, MDS coding will launch by mid-year

Surveyors will scrutinize dementia care and Minimum Data Set coding in an upcoming pilot program to test more expansive oversight of these areas, the Centers for Medicare & Medicaid Services recently announced. Pilots of the dementia care and MDS coding “focused reviews” are scheduled to begin by mid-2014, according to a memorandum issued Friday.  About […]

Ask the expert: Medicare Advantage plan

Q: If a beneficiary changes from one Medicare Advantage plan to another, do they automatically get 100 new days of Skilled Nursing? MAO’s do not report days paid to the Common Working file and unless the SNF informs the new plan of days paid under another plan or that the beneficiary has had previous stays  we […]

Chronic underfunding of Older Americans Act leading to unnecessary LTC facility admissions

Chronic underfunding of the Older Americans Act is leading to unnecessary long-term care facility admissions, Sen. Bernard Sanders (I-VT) and 26 of his Democratic colleagues in the Senate said in a recent letter to Appropriations Committee leaders. The lawmakers requested a 12% increase over fiscal year 2014 funding levels for Older Americans Act (OAA) programs such as […]

Long-term care facilities reduce antipsychotic medication use by more than 15%

Long-term care facilities have reduced antipsychotic medication use by more than 15% through a large-scale initiative, according to a new report from the Centers for Medicare & Medicaid Services. That means it’s time to set a more ambitious goal, a subgroup says. The National Partnership to Improve Dementia Care in Nursing Homes was formally launched […]

CMS ensures higher value and quality for Medicare Health and Drug plans

On April 7, 2014 the Centers for Medicare & Medicaid Services (CMS) issued the 2015 rate announcement and final call letter for Medicare Advantage and prescription drug benefit (Part D) programs. The announcement sets a stable path for Medicare Advantage and implements a number of policies that ensure beneficiaries will continue to have access to […]

OIG reverses course on referral services discounts

Providers cannot use an online service that involves money for referrals within its network, federal regulators now say, reversing course on an advisory opinion that was first issued three years ago. The statement came from the Department of Health and Human Services Office of Inspector General. The notice of termination on OIG Advisory Opinion No. 11-18 was […]

The median annual cost of a private nursing home room has increased

The median annual cost of a private nursing home room in the United States has increased to $87,600, according to the latest annual survey from insurance company Genworth. This is a 4.4% increase from last year. The median price for a semi-private nursing home room increased by 2.62%, reaching $77,380 a year. The cost of […]

Proposed budget plan would hurt millions of seniors in nursing homes

A Republican budget plan unveiled in the House of Representatives Tuesday would slash healthcare spending by $732 billion over the next decade, in part by reengineering Medicaid. House Budget Committee Chairman Paul Ryan (R-WI) was the chief architect of the plan for fiscal year 2015, and its healthcare provisions are similar to his past budgets. He envisions […]

Bill affecting LTC payments and ICD-10 transition passed by House on Thursday

A bill linking skilled nursing facilities’ Medicare payments to hospital readmissions passed the House of Representatives Thursday. The measure also would extend the ICD-10 transition period and prevent a looming physician pay cut. The Senate is scheduled to vote on the bill Monday, and it then likely would go quickly to the White House for the […]