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Updates to CR 11152 Implementation of the Skilled Nursing Facility Patient Driven Payment Model

Policy Snapshot
Patient Driven Payment Model (PDPM), Centers for Medicare and Medicaid (CMS)
November 14, 2019
A new MLN Matters article on Updates to CR 11152 Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) is now available. Learn about updates to handle Veterans Administration demonstration claims under the PDPM.

Prevalence of Hospital-Associated Disability in Older Adults: A Meta-analysis

JAMDA
November 13, 2019
Hospital-associated disability (HAD), defined as loss of independence in activities of daily living (ADL) following acute hospitalization, is observed among older adults. The study objective is to determine overall prevalence of HAD among older...

Dementia Severity Associated With Increased Risk of Potentially Preventable Readmissions During Home Health Care

JAMDA
November 13, 2019
Approximately 14% of Medicare beneficiaries are readmitted to a hospital within 30 days of home health care admission. Individuals with dementia account for 30% of all home health care admissions and are at high risk for readmission. Our primary...

Effect of Protein Supplementation on Physical Performance in Older People With Sarcopenia–A Randomized Controlled Trial

JAMDA
November 13, 2019
To test the long-term effects of whey-enriched protein supplementation on muscle and physical performance.

Taking the Mystery Out of Billing and Coding

Spotlight
November 12, 2019
MEMBERS ONLY CONTENT Login or Join If you’ve tried to read the CPT coding manual to brush up on your knowledge of billing and coding but find that you’re distracted or dozing off, you’re not alone. Fortunately, the speakers at a Society webinar set...

November 10, 2019

Weekly Roundup
November 10, 2019
MEMBERS ONLY CONTENT Login or Join Phase 3 of the revised Medicare and Medicaid requirements of participation for long-term care requires skilled nursing homes (SNFs) to provide “trauma-informed care” (TIC). Whether facilities and practitioners are...

Dipping or Diving: Trauma-Informed Care Expert Has the Answers

Spotlight
November 7, 2019
MEMBERS ONLY CONTENT Login or Join Phase 3 of the revised Medicare and Medicaid requirements of participation for long-term care requires skilled nursing homes (SNFs) to provide “trauma-informed care” (TIC). Whether facilities and practitioners are...

Society Advocacy Helps PALTC Clinicians as CMS Releases Medicare Physician Fee Schedule and Quality Payment Program Final Rules

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practitioners
November 7, 2019
On November 1, 2019, the Centers for Medicare & Medicaid Services (CMS) released the CY 2020 Medicare Physician Fee Schedule and Quality Payment Program (QPP) final rules. Below is a summary of some of the policies CMS finalized. Physician Fee...

CMS Holding Some Skilled Nursing Facility Claims

Policy Snapshot
Patient Driven Payment Model (PDPM), Centers for Medicare and Medicaid (CMS), Payment, Practitioners
November 7, 2019
As the Centers for Medicare & Medicaid Services (CMS) has undertaken the implementation of the Patient Driven Payment Model (PDPM), it is holding a limited number of Skilled Nursing Facility (SNF) claims while making further refinements to its...

Bill Correctly for Medicare Telehealth Services

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Practitioners
November 7, 2019
In a recent report , the Office of Inspector General (OIG) determined that the Centers for Medicare & Medicaid Services (CMS) improperly paid practitioners for some telehealth claims associated with services that did not meet Medicare...