Long-Term Care

AHCA pushing for CMS to urge Congress for LTC changes

MDS 3.0 Insider, September 11, 2014

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The Centers for Medicare & Medicaid Services should openly urge Congress to change the way therapy services are reimbursed, The American Health Care Association/National Center for Assisted Living (AHCA) stated in recent written comments to CMS Administrator Marilyn Tavenner.

AHCA pressed for three changes in particular, including:
1.    Repealing “arbitrary” Part B therapy caps that limit access to needed services
2.    Reforming the “flawed” outpatient therapy medical review process, in order to create a system more likely to identify improper payments
3.    Collecting standardized outpatient therapy data, rather than the current non-standardized data
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