Tag: proposed rule

Proposed rule aims to make CMP waiver process standard

In its proposed rule released this week, CMS aims to eliminate the requirement for facilities to actively waive their right to a hearing in writing. Instead, there would be a waiver process that would operate by default when CMS has not received a timely request for a hearing. The 35% penalty reduction would remain. According […]

Key takeaways of the new proposed rule

On July 17 CMS announced a proposed rule that would delay Phase 3 requirements, including QAPI and ethics and compliance standards. These changes, fueled by the Trump administration, will modify previous rules set forth between October 2016 and June 2017. CMS-3347-P The first proposed rule, Medicare & Medicaid Programs; Requirements for Long-Term Care Facilities: Regulatory […]

Proposed rule includes change to antipsychotics regulation

CMS announced a new proposed rule (CMS-3347-P) this week, and among many changes, such as the delay of Phase 3 implementation, are changes to the use of antipsychotic medication. In the proposed rule, CMS states that “some nursing homes are circumventing the pressure to reduce antipsychotic drug use by seeking an appropriate diagnosis from a […]

Commenters note “dramatic impact” of proposed changes in hospice payment rule

More than 175 commenters shared their thoughts on the proposed hospice payment rule. CMS accepted public comment on FY 2020 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements through June 18. Comments weighed in on proposals to rebase payment rates, eliminate wage index lag, and introduce election statement modifications and an […]

Proposed rule would revise regulations around nondiscrimination in health programs

In an effort to reduce burden, the Department of Health and Human Services (HHS) and CMS are seeking to update regulations around nondiscrimination outlined in the Affordable Care Act (ACA). The proposed rule was published in the Federal Register June 14. It would make “substantial revisions” to Section 1557 of the ACA by eliminating “provisions […]

What to consider: SNF Proposed Rule for 2020

The following was written by Reg Hislop for Reg’s Blog. Reposted with permission. . The SNF proposed rule is best characterized as mostly good news. The best news is the proposed market-basket (rate inflation) update of 3%. Subtracting the productivity factor of .5% from the update, SNFs will see a rate increase of 2.5% starting […]

Ten things to note about the proposed SNF rule

A proposed rule, titled Proposed Fiscal Year 2020 Payment and Policy Changes for Medicare Skilled Nursing Facilities (CMS-1718-P), was published in the Federal Register on April 25. Here are ten things you need to know.

Proposed 2019 hospice rule increases payments by $340 million

Brought to you by Home Health Line. Hospices are expected to receive a 1.8% payment increase in 2019 — an improvement from the prior year, according to the 2019 proposed hospice payment rule posted April 27 on the Federal Register. Hospices only received a 1% payment increase in 2018. The lower amount in the prior […]

CMS releases FY 2019 proposed rule, includes RCS-1 replacement

CMS has posted a proposed rule for FY 2019. The proposal not only changes payment rates, but also proposes a new case mix grouping called the Patient-Driven Payment Model, or PDPM. This model replaces the RCS-1 that was proposed in May of last year. According to CMS, this new system has 80% fewer groupings and […]