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CMS Launches New Effort to Improve Care for Nursing Facility Residents

Policy Snapshot
Long-Term Care, Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Payment, Attending Physician, Medical Director, Nurse Practitioner (NP), Physician Assistant (PA), Quality
April 1, 2016
The Centers for Medicare & Medicaid Services (CMS) today announced it will test whether a new payment model for nursing facilities and practitioners will further reduce avoidable hospitalizations, lower combined Medicare and Medicaid spending,...

CMS: You can bill CCM in Non-Part A Nursing Facility Stays

Policy Snapshot
Assisted Living, Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Payment, Current Procedural Terminology (CPT) codes, Attending Physician, Nurse Practitioner (NP), Physician Assistant (PA)
April 1, 2016
Over the last year, AMDA - The Society for Post-Acute and Long-Term Care Medicine has asked the Centers for Medicare & Medicaid Services (CMS) to clarify whether the Chronic Care Management (CCM) Current Procedural Terminology (CPT) code was...

Medicare Shared Savings Program ACO: Preparing to Apply for 2017 Call — Last Chance to Register

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Accountable Care Organization (ACO), Attending Physician, Nurse Practitioner (NP), Physician Assistant (PA)
April 1, 2016
Tuesday, April 5 from 1:30 to 3 pm ET To Register: Visit MLN Connects Event Registration . Space may be limited, register early. During this call, CMS subject matter experts provide information on what you can do to prepare for the Medicare Shared...

Levy Looks Forward to Giving Back as Leader

Spotlight
Practitioners, Medical Director
April 1, 2016
Susan Levy, MD, CMD, AMDA—The Society for Post-Acute and Long-Term Care 2016-2017 President, looks forward to a hectic year working and traveling for her professional home. “This is my way of giving back to a profession and an organization that have...

Health Information Technology in Long-Term Care: Potential for the Future

JAMDA
April 1, 2016
In this issue, Degenholtz et al1 describe a conceptual framework to better understand the potential uses of health information technology (HIT) in the nursing home setting to improve the care delivered to residents. The authors classified HIT into 6...

Timely Diagnosis for Dementia: The Need for Specialists

JAMDA
March 31, 2016
Dementia is recognized as a global health priority and has recently been identified as the single greatest cause of disability and the third leading cause of death in older Australians. Findings from a recent Australian Parliamentary Inquiry into...

Prevention of Cognitive Decline: A Physical Exercise Perspective on Brain Health in the Long Run

JAMDA
March 31, 2016
The International Association of Gerontology and Geriatrics consensus conference paper calls for early detection of cognitive impairment as a patient's right and refers to emerging data supporting a combination of medical and lifestyle interventions...

CMS Releases Updated PBJ Manual to Allow for On & Off Site Medical Director Responsibilities to Count

Policy Snapshot
Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Federal Regulations, Survey, Medical Director
March 25, 2016
Last week, the Centers for Medicare & Medicaid Services (CMS) released survey and certification letter ( S&C 16-13-NH ) which reminds long-term care facilities that the mandatory submission period for electronic reporting on staffing begins...

CMS Publishes FAQs about Billing for Advance Care Planning

Policy Snapshot
Advance Care Planning, Payment, Current Procedural Terminology (CPT) codes
March 25, 2016
The Centers for Medicare & Medicaid Services (CMS) recently released a frequently asked questions document about bill advance care planning (ACP) services under Current Procedural Terminology (CPT) codes 99497 and 99498 billable under Medicare...

CMS to Release a CBR on Subsequent Nursing Facility E/M Services in April

Policy Snapshot
Payment, Current Procedural Terminology (CPT) codes
March 25, 2016
The Centers for Medicare & Medicaid Services (CMS) will issue a national provider Comparative Billing Report (CBR) on Subsequent Nursing Facility Evaluation and Management (E/M) Services in April 2016. The CBR, produced by CMS contractor...