Publications

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Understanding and Promoting the Value of Chronic Care Management Services CMS Call — February 21

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Coding, Reimbursement, & Documentation
February 10, 2017
Tuesday, February 21 from 1:30 to 3 pm ET To register or for more information, visit MLN Connects® Event Registration . During this call, Centers for Medicare & Medicaid Services (CMS) experts discuss the benefits of providing Chronic Care...

Looking Ahead: The IMPACT Act in 2017 CMS Call — February 23

Policy Snapshot
Care Settings/Types, Skilled Nursing Care, Centers for Medicare and Medicaid (CMS)
February 10, 2017
Thursday, February 23 from 1:30 to 3 pm ET To register or for more information, visit MLN Connects® Event Registration . The Improving Medicare Post-Acute Care Transformation of 2014 ( IMPACT Act ) requires the reporting of standardized patient...

CMS Telehealth Services Fact Sheet — Revised

Policy Snapshot
Centers for Medicare and Medicaid (CMS)
February 10, 2017
A revised Telehealth Services fact sheet is available. Learn about: Originating sites Distant site practitioners Telehealth services Billing and payment for professional services furnished via telehealth and the originating site facility fee

Wyden Introduces Bill To Weaken IPAB

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment
February 3, 2017
Senator Ron Wyden (D-OR) introduced a bill and a resolution that would prevent the Independent Payment Advisory Board (IPAB) process from moving forward. The resolution comes before the February 1st statutory deadline required to discontinue the...

Medicare Observation Status Addressed At HHS Confirmation Hearing

Policy Snapshot
Care Settings/Types, Centers for Medicare and Medicaid (CMS), Observation Status
February 3, 2017
This week, the Society worked with the Observation Status Coalition to submit a question during the Senate Finance Committee’s confirmation hearing for Representative Tom Price (R-GA), nominee for Secretary of Health and Human Services. Senator...

PBJ Submission Reminder

Policy Snapshot
Care Settings/Types, Centers for Medicare and Medicaid (CMS)
February 3, 2017
As of July 1, 2016, electronic submission of staffing data through the Payroll-Based Journal (PBJ) is mandatory for all long-term care facilities. You have up to 45 days after the end of the quarter to submit data for Federal Fiscal Quarter 1 (...

EHR Incentive Program: Attest to 2016 Program Requirements by February 28

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Electronic Health Records (EHR)
February 3, 2017
The Registration and Attestation System is now open. Providers participating in the Medicare Electronic Health Record (EHR) Incentive Program must attest to the 2016 program requirements by February 28 to avoid a 2018 payment adjustment. The EHR...

Society Advocacy Leads to CMS Policy Change on Care Coordination/Behavioral Health

Policy Snapshot
Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Payment, Coding, Reimbursement, & Documentation, Current Procedural Terminology (CPT) codes
January 27, 2017
Earlier this month the Centers for Medicare & Medicaid Services (CMS) released updated guidance for billing Chronic Care Management (CCM) Services. That guidance provided key improvements on 2017 billing of three codes for CCM services with...

Affordable Care Act Replacements Introduced in Congress

Policy Snapshot
Practice Management
January 27, 2017
This week, two pieces of legislation were introduced as replacements for the Affordable Care Act (ACA). U.S. Senators Susan Collins (R-ME), Bill Cassidy, MD (R-LA), Shelley Moore Capito (R-WV) and Johnny Isakson (R-GA) introduced the Patient Freedom...

CMS Reports Sharp Reduction in Avoidable Hospitalizations Among Long-Term Care Facility Residents

Policy Snapshot
Long-Term Care, Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Medicare, Medicaid, Transitions of Care
January 20, 2017
A data brief released by the Centers for Medicare & Medicaid Services (CMS) this week, noted dramatic reductions in avoidable hospitalizations over the last several years. CMS along with the help from the Affordable Care Act, and working with...