Tag: proposed rule

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 […]

CMS still seeking feedback on RCS-1

During their SNF/LTC Open Door Forum call yesterday, CMS announced that, although the comment period for an advanced notice of proposed rulemaking (ANPR) published in May officially closed this August after receiving more than 200 comments, the agency encourages providers to continue submitting feedback by sending comments, questions, or concerns to CMS’ email inbox at […]

The essential role of MDS 3.0 in RCS-1

Written by Steven Littlehale, MS, GCNS-BC, executive vice president & chief clinical officer for PointRight. The full article originally appeared in the October issue of PPS Alert for Long-Term Care. The clinical and technical eligibility requirements for skilled care coverage in a SNF are unchanged under the proposed RCS-1 system—and frankly, those are just about […]

CMS proposes canceling cardiac bundled payments and changes to CJR model

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, […]

CMS proposes changes to outpatient knee replacement coverage and three-day waiver rule

Two proposals published by the Centers for Medicare & Medicaid Services (CMS) last week suggest two potential changes affecting Medicare coverage and the three-day rule waiver: Medicare may cover outpatient beneficiary knee replacements; and Accountable care organizations (ACO) may no longer be required to submit documents explaining financial relationships between the organization, skilled nursing affiliates […]

CMS proposes quality program updates to ease clinician burdens

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 […]

CMS welcomes feedback on proposed case-mix rule, extends comment deadline

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 […]

CMS issues proposed revision requirements for long-term care facilities’ arbitration agreements

CMS issued proposed revisions to arbitration agreement requirements for long-term care facilities.  These proposed revisions would help strengthen transparency in the arbitration process, reduce unnecessary provider burden and support residents’ rights to make informed decisions about important aspects of their health care. Background The Reform of Requirements for Long-Term Care Facilities Final Rule published on […]