Tag: regulatory guidance

SNFs and Rehab facilities should receive same payments

Skilled nursing facilities and inpatient rehabilitation facilities should receive the same payments for treating certain conditions, the Medicare Payment Advisory Commission recommended in its latest report to Congress. MedPAC has long shown support for equalizing IRF and SNF payments, and the group provided an in-depth consideration of the potential policy in the report released Friday. […]

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 […]

Don’t miss out on our next Long Term Care Regulatory Compliance Boot Camp! April 14-17 in Columbus, OH

The Long-Term Care Regulatory Compliance Boot Camp is an intensive four-day course that will enable your facility to improve survey outcomes, identify quality of care risk factors, and implement a process improvement plan. Visit our website to register. (http://hcprobootcamps.com/courses/10024/location-dates) You will leave the Long-Term Care Regulatory Compliance Boot Camp knowing how to: Identify deficiencies in […]

Materials from Jimmo v. Sebelius provider call available now

On January 24, 2013, the U. S. District Court for the District of Vermont approved a settlement agreement in the case of Jimmo v. Sebelius, involving skilled care for the inpatient rehabilitation facility (IRF), skilled nursing facility (SNF), home health (HH), and outpatient therapy (OPT) benefits. “Nothing in this Settlement Agreement modifies, contracts, or expands […]

Medicare Benefit and Policy Manual Updated

On November 29, CMS issued a transmittal stating in accordance with the Jimmo v. Sebelius Settlement Agreement, CMS has agreed to issue revised portions of the relevant chapters of the program manual used by Medicare contractors, in order to clarify coverage of skilled nursing and skilled therapy services. The following are some significant aspects of […]

Is your facility properly equipped with a sprinkler system?

The Centers for Medicare & Medicaid Services (CMS) released a memo sent to state survey agency directors about the past August 13 deadline that states that all nursing homes should have installed automatic sprinkler systems. The memo summarizes what surveyors need to understand about this new requirement including: Requirement: All nursing homes must be fully […]

CMS Releases SNF PPS Final Rule for FY 2014

On August 1, 2013, the Centers for Medicare & Medicaid Services (CMS) published the final rule for the Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNF) for FY 2014 in the Federal Register. Effective October 1, 2013, this final rule updates the payment rates used under the prospective payment system for SNFs […]

CMS releases FAQ document on functional reporting for therapy services

On June 19, the Centers for Medicare & Medicaid Services (CMS) released a new Frequently Asked Questions (FAQ) document on functional reporting for PT, OT, and SLP services. The document includes FAQs on: Providers, plans, and payers subject to functional reporting How to report functional information Assessment tools Claims requirements Click here to access this […]

New final rule makes changes to requirements for LTC facilities; hospice services

A final rule, released on Thursday, June 27, will revise the requirements that an institution will have to meet in order to qualify to participate as a skilled nursing facility (SNF) in the Medicare program, or as a nursing facility (NF) in the Medicaid program. These requirements will ensure that long-term care (LTC) facilities (SNFs and […]

Ask the expert: Care plans

Q: We are having a large debate about care planning in our facility. Some people believe the basis of the care plan is to identify the resident’s care problems and plan actions, implement steps to care for those problems, and establish assessment dates, and then put MDS into the care plan. On the other side […]