Tag: regulations

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 […]

SNF PPS final rule published, new payment model to begin October 1, 2019

It’s official: According to CMS’ Skilled Nursing Facility (SNF) Prospective Payment System (PPS) final rule published in the Federal Register yesterday evening, the Patient-Driven Payment Model (PDPM)—the new case-mix methodology to replace RUG-IV)—is effective October 1, 2018. Facilities will have a year to transition to PDPM from RUG-IV by the October 1, 2019 implementation date. […]

Equip your leadership teams to achieve compliance and navigate CMS regulatory changes

The evolving post-acute care industry landscape introduces greater accountability, a heightened focus on patient outcomes, and significant payment reform for skilled nursing facilities (SNFs). Building solid processes and systems is critical for staying compliant under the numerous Centers for Medicare & Medicaid Services (CMS) regulatory changes effective at the beginning of each new fiscal year. […]

MedPAC weighs in on several topics affecting post-acute care in public meeting

The Medicare Payment Advisory Commission (MedPAC) held their public meeting over two days this week at the Ronald Reagan Building, International Trade Center in Washington to discuss multiple topics impacting post-acute care. The meeting agenda included the following: Medicare Advantage encounter data validation and potential uses: ISSUE: During public sessions, Commissioners regularly highlight situations in […]

Submit comments on IMPACT Act quality measures by May 3, 2018

To satisfy requirements of the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act), CMS has contracted with RTI International and Abt Associates to develop quality measures for the transfer of health information and care preferences domain that may be used in post-acute care settings such as skilled nursing facilities, inpatient rehab facilities, long-term […]

CMS updates to Medicare manuals could impact reimbursement

In an MLN Matters article dated March 16, 2018, CMS instructed providers to make sure their billing staff are aware of changes made to Medicare manuals. CMS stated that these updates to the Medicare manuals are intended only to clarify the existing content and to correct various omissions and minor technical errors. No policy, processing […]

New Medicare card project special open door forum March 20

CMS will host a Special Open Door Forum to give providers an opportunity to ask questions about the New Medicare Card Project on Tuesday, March 20 from 2:00pm-3:00pm, ET. Providers are encouraged to use this call to get answers to questions and get prepared to accept the new Medicare Beneficiary Identifier starting April 1, 2018. […]

MedPAC encourages Medicare beneficiaries to use higher-quality PAC providers

During the Medicare Payment Advisory Commission’s (MedPAC) public meeting on Thursday, March 1, analyst Evan Christman reviewed options for modifying Medicare’s hospital discharge rules to encourage beneficiaries to use higher-quality PAC providers. Christman pointed out that Medicare assigns responsibility for discharge planning to the hospital, and while part of this responsibility includes providing the beneficiary […]

CMS IMPACT Act special open door forum March 28

CMS’ upcoming IMPACT Act Special Open Door Forum (SODF) on Wednesday, March 28, 2:00pm-3:00pm, ET, will provide information and solicit feedback pertaining to development and testing of Standardized Patient Assessment Data Elements as mandated by the Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act). This SODF will provide an update on the national […]