Tag: SNFs

CMS issues guidance on F-tag revisions for notification of a facility closure

On August 2, the Centers for Medicare & Medicaid Services (CMS) released a memo sent to state survey agency directors that detailed the revisions to F-tags F203 and F204 and the issuance of new F-tags F523 and F524 in the State Operations Manual (SOM), Appendix PP. These F-tags are related to the notifications of a […]

Proposed dementia care guidance released by CMS

On May 24, the Centers for Medicare & Medicaid Services (CMS) released a memo sent to state survey agency directors that contained interim guidance related to surveyors’ assessment for compliance with requirements related to nursing home residents with dementia and unnecessary drug use. These updates include sampling for the traditional survey process in Appendix P.  […]

2014 SNF Proposed Rule Analysis: Revising and rebasing the SNF market basket

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that is proposing to rebase and revise the SNF market basket for 2014 and subsequent years to reflect more recent data. The current SNF market basket reflects data from 2004 and CMS is proposing to revise and update the SNF market basket […]

CMS Releases Proposed Rule Featuring Payment Updates for 2014

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for 2014 and would revise and rebase the SNF market basket. This proposed rule also includes a proposed policy for reporting the SNF market […]

CMS releases clarification about physician delegation in both SNFs and NFs

CMS has released a Medicare Learning Network (MLN) Matters article titled “Physician Delegation of Tasks in Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs)”. The information affects physicians, non-physician practitioners (NPPs) and providers who bill for services related to beneficiaries in SNFs and NFs. CMS is clarifying the regulatory differences concerning physician delegation of tasks […]

OSHA targets SNFs for possible inspections

The Occupational Safety and Health Administration (OSHA) has released letters to approximately 10,000 workplaces with Days Away from Work, Restricted, or Transferred (DART) rates greater than the average rate for their industry. Long-term care facilities are included in these workplaces. Last year, OSHA surveyed employers to collect workplace injury and illness data. This survey was […]

Digging in deeper: MedPAC report’s SNF findings

On March 15, the Medicare Payment Advisory Commission (MedPAC) issued its annual report to Congress. In the report, MedPAC addresses the SNF PPS in Chapter 8. MedPAC states that most indicators of payment adequacy for SNFs are positive. Here are some findings published in the report: Access to SNF services remains stable for most beneficiaries. […]

Fiscal cliff impact: SNFs facing more Medicare cuts

Provisions contained in American Taxpayer Relief Act (ATRA), known colloquially as the fiscal cliff deal, will further reduce Medicare payments for skilled nursing facility (SNF) care, according to a press release from The Alliance for Quality Nursing Home Care (AQNHC). An analysis from Avalere Health shows that by extrapolating from the Congressional Budget Office estimate […]