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Policy Snapshot
July 23, 2021
Last month, the FDA released an Emergency Use Authorization (EUA) for tocilizumab, a COVID-19 monoclonal antibody product. CMS created new HCPCS codes, effective June 24, for tocilizumab and to administer it in the inpatient setting. Q0249: Long...
Policy Snapshot
July 16, 2021
Last week, the Centers for Medicare & Medicaid Services (CMS) opened a National Coverage Determination (NCD) analysis, a process that will allow the agency to carefully review and determine whether Medicare will establish a national coverage...
Policy Snapshot
July 8, 2021
CMS updated FAQs about repayment of COVID-19 accelerated and advance payments are now available. If you got these payments, learn more about how recoupment works and how it affects your Medicare claims payment amounts: COVID-19 Accelerated and...
Policy Snapshot
July 8, 2021
CMS released a snapshot of the impact of COVID-19 on the Medicare population from January 1, 2020-April 24, 2021. The updated data shows over 4.3 million COVID-19 cases and over 1.2 million COVID-19 hospitalizations.
Policy Snapshot
July 2, 2021
The Centers for Medicare & Medicaid Services (CMS) published 2021 Alternative Payment Model (APM) Incentive Payment details on the Quality Payment Program (QPP) website ; eligible clinicians and surrogates can log in to see what you were paid by...
Policy Snapshot
July 2, 2021
Proposed rule would accelerate shift from volume-based incentives to quality-based incentives The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that accelerates the shift from paying for home health services based on...
Policy Snapshot
July 2, 2021
Last week, Reps. Darren Soto (D-FL) and Gus Billirakis (R-FL) announced the formation of a bipartisan Congressional Caucus on Infection Prevention and Control in Long-Term Care (IPC-LTC). The Caucus aims to create meaningful federal policies to...
Policy Snapshot
June 25, 2021
This week, AMDA and several other organizations sent a letter urging Secretary Xavier Becerra, Secretary of the Department of Health and Human Services (HHS), to release nursing home strike team funding authorized in the American Rescue Plan Act of...
Policy Snapshot
June 25, 2021
The Office of Inspector General released a report about the impact COVID-19 had on Medicare beneficiaries. Last year, 3.1 million beneficiaries were living in nursing homes and SNFs. Of this amount, 1.3 million had or likely had COVID-19 in 2020. It...
Policy Snapshot
June 25, 2021
This week, New York Governor Andrew Cuomo signed into law a bill ( S6346 ) that establishes staffing standards for nursing homes requiring them to have minimum staffing levels and imposes civil penalties for those that fail to adhere. The new law,...