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OIG Report Finds CMS Paid for SNF Care When 3-Day Inpatient Stay Not Met

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Practitioners
February 28, 2019
The Office of Inspector General (OIG) recently released a report looking at nursing home claims between 2013 and 2015 that had hospital stays of less than three consecutive calendar days and as such did not meet Medicare’s three-day stay requirement...

Interoperability and Patient Access to Health Data: New Proposals

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Practice Management, Electronic Health Records (EHR), Health Information Technology (HIT), Practitioners
February 28, 2019
The Centers for Medicare & Medicaid Services (CMS) proposed policy changes supporting the MyHealthEData initiative to improve patient access and advance electronic data exchange and care coordination throughout the health care system. The...

Acute Exacerbation of Chronic Obstructive Pulmonary Disease in Oldest Adults: Predictors of In-Hospital Mortality and Need for Post-acute Care

JAMDA
February 27, 2019
Older age is associated with higher risk of death during acute exacerbations of chronic obstructive pulmonary disease (AE-COPD). Older patients hospitalized for AE-COPD often require post-acute care after acute phase. The aim of this study was to...

Toward Common Data Elements for International Research in Long-term Care Homes: Advancing Person-Centered Care

JAMDA
February 27, 2019
To support person-centered, residential long-term care internationally, a consortium of researchers in medicine, nursing, behavioral, and social sciences from 21 geographically and economically diverse countries have launched the WE-THRIVE...

Conditional Permission to Not Resuscitate: A Middle Ground for Resuscitation

JAMDA
February 27, 2019
Every decision to perform or withhold cardiopulmonary resuscitation (CPR) has ethical implications that are not always well understood. Value-based decisions with far-reaching consequences are made rapidly, based on incomplete or possibly inaccurate...

Red Eye Rounds: Set Your Alarm, Bring Your Appetite and Inquires

Spotlight
February 26, 2019
After three days of education and networking at the annual conference, you might be tempted to sleep in on Sunday morning. But set the alarm, and you’ll get more than coffee and breakfast. You will hear from and talk with leading experts, and you...

POLICY UPDATE: Volume III

AMDA On-The-Hill
Centers for Medicare and Medicaid (CMS), Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Practitioners
February 26, 2019
Follow AMDA On-The-Hill Podcast Questions? Email Alex at abardakh@paltc.org Related Resources: Webinar: MACRA, MIPS, and APMS: What You Need to Know for 2019 Reporting 2019 Annual Conference Recordings

February 24, 2019

Weekly Roundup
February 24, 2019
MEMBERS ONLY CONTENT Login or Join How to Read and Review Research Papers” is set for Friday, March 8, at 1:30 PM during the annual conference in Atlanta, Georgia. Sheryl Zimmerman, PhD, and Philip Sloane, MD, MPH, JAMDA’s other co-editor, together...

Explore the Business and Clinical Side of PALTC

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practice Management, Practitioners
February 21, 2019
AMDA – The Society for Post-Acute and Long-Term Care (PALTC) Medicine’s 2019 Annual Conference, March 7-10 in Atlanta, GA, is the only place to get the latest clinical developments in geriatric medicine, best practices in medical direction, policy/...

SNF PPS Patient Driven Payment Model: Updated Resources

Policy Snapshot
Care Settings/Types, Centers for Medicare and Medicaid (CMS), Payment, Practitioners
February 21, 2019
On October 1, 2019, the new Patient Driven Payment Model (PDPM) is replacing Resource Utilization Group, Version IV for the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). Based on stakeholder feedback, the Centers for Medicare...