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CMS Releases 2017 Quality Payment Program Experience Report

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
March 22, 2019
This week the Centers for Medicare & Medicaid Services (CMS) released its 2017 Quality Payment Program (QPP) Experience Report with Appendix , which provides a comprehensive overview of the clinician reporting experience during the first year of...

Fourth Snapshot of 2018 APM Participant and MIPS APM Data Released

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
March 22, 2019
The Centers for Medicare & Medicaid Services (CMS) updated its Quality Payment Program Participation Status Tool based on the fourth snapshot of data from Alternative Payment Model (APM) entities. The tool includes 2018 Qualifying APM...

Congress Introduces Legislation to Ensure Medicare SNF Coverage and Stop Surprise Billing

Policy Snapshot
Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Observation Status, Practitioners
March 14, 2019
Reps. Joe Courtney (D-CT) and Glenn ‘GT’ Thompson (R-PA), and Sen. Sherrod Brown (D-OH) reintroduced bipartisan, bicameral legislation to fix an arbitrary Medicare policy that excludes coverage of skilled nursing care for certain patients, resulting...

President Trump Releases FY2020 Budget

Policy Snapshot
Long-Term Care, Post-Acute Care, Skilled Nursing Care, Practitioners
March 14, 2019
On March 11, the president released to Congress his budget request for fiscal year (FY) 2020. The budget request proposes significant reductions to Medicare and Medicaid over 10 years. The president’s budget is non-binding. Congress will now develop...

Data Interoperability across the Continuum: CMS Data Element Library Call on March 19

Policy Snapshot
Long-Term Care, Post-Acute Care, Centers for Medicare and Medicaid (CMS), Electronic Health Records (EHR), Health Information Technology (HIT), Practitioners
March 14, 2019
During this call on Tuesday, March 19, from 1:30-3 PM ET, you’ll learn about the recently released CMS Data Element Library (DEL), a database of post-acute care patient assessment content mapped to nationally accepted health IT standards to support...

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...

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...

Dementia Care & Psychotropic Medication Tracking Tool CMS Call — March 12

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Dementia, Antipsychotics, Practitioners
February 21, 2019
The Centers for Medicare & Medicaid Services (CMS) will hold a call on Tuesday, March 12, from 1:30 to 3 PM on the Dementia Care & Psychotropic Medication Tracking Tool. During this call, you’ll be able to gain insight on this free, publicly...