Online resource packed with regulatory news and expert guidance, tips & tools pertinent to professionals across the post-acute care continuum.
Editor’s note: Part of this post has been republished with permission from the author, Reg’s blog. Last week, CMS announced a proposed rule to reduce the number of mandatory geographic areas participating in the Center for Medicare and Medicaid Innovation’s (Innovation Center) Comprehensive Care for Joint Replacement (CJR) model from 67 to 34. In addition, […]
by: Josh Poltilove The following is from Home Health Line. For more news and information on home health and hospice, visit homehealthline.decisionhealth.com. Medicare’s hospice payments, adjusted for inflation and other factors, will rise an estimated 1% in 2018, according to the final hospice payment rule posted Aug. 1. That’s a $180 million increase. By comparison, […]
As expected, SNFs will receive a 1% increase in federal payments for FY 2018, roughly $370 million more than they received in FY 2017. Though the increase amount doesn’t come as a surprise with its original proposal being published back in April, it’s much lower than the $800 million that was proposed for SNFs last […]
by: Josh Poltilove The following is from Home Health Line. For more news and information on home health and hospice, visit homehealthline.decisionhealth.com. In the short term, CMS plans to reduce home health agencies’ payments by 0.4% next year. In the long term, CMS plans to drastically redesign the way agencies are paid beginning in 2019. […]
The Centers for Medicare & Medicaid Services (CMS) published a notice of meeting to be held on September 8, 2017 from 10:00am to 5pm, ET to discuss ideas for a potential behavioral health payment model for beneficiaries with cognitive impairments such as Alzheimer’s disease and dementia. The meeting is open to the public but space […]
The Centers for Medicare & Medicaid Services (CMS) has released revised interpretive guidelines to clarify existing requirements and provide guidance for Phase 2 of the new survey process, which includes requirements such as antibiotic stewardship, facility assessment, and QAPI. Along with a revised Appendix PP, CMS also published two documents to help providers understand revisions […]
By Jordan Rau, Kaiser Health News ORANGE, Va. — Alice Jacobs, 90, once owned a factory and horses. She raised four children and buried two husbands. But years in an assisted living facility drained her savings, and now she relies on Medicaid to pay for her care at Dogwood Village, a nonprofit, county-owned nursing home […]
Proposed rule aims to simplify reporting requirements and offer support for doctors and clinicians in 2018 On Tuesday, June 20, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would make changes in the second year of the Quality Payment Program as required by the Medicare Access and CHIP Reauthorization Act of […]
The Medicare Payment Advisory Commission (MedPAC) published their June Report to the Congress: Medicare and the Health Care Delivery System, in which they evaluate several Medicare payment issues in order to make recommendations to Congress. Issues addressed include: Implementation of a unified payment system for post-acute care. Given the overlap among PAC settings (skilled nursing […]
The Centers for Medicare & Medicaid Services (CMS) has extended the comment deadline for the advance notice of proposed revisions to case-mix methodology rule from June 26, 2017 to August 25, 2017. The advance notice of proposed rulemaking, titled “Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-mix Methodology,” was published […]