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- Join our long-term care review group
HCPro is seeking enthusiastic long-term care managers, nurse leaders, and nurse educators to join an ad-hoc group interested in reading and reviewing prepublication drafts of books and training materials in your areas of interest and expertise. Our editors will send you periodic emails listing upcoming projects available for outside review. If you’re interested, just let us know. We’ll send reviewing guidelines and give you an idea of our timeframe. If it works for you, we’ll send the draft chapters as they’re available, and a printed copy of the book when it’s complete. In addition, you will be recognized as a reviewer inside the printed book. Please have a minimum of five years of nursing experience and be in an educational, supervisory, or leadership role within your organization. For more information or to sign up as a reviewer, please send an email including your areas of interest and expertise to Olivia MacDonald at email@example.com.
- PPS Alert for Long-Term Care, April 2016
In February, CMS published its long-awaited final rule on returning Medicare overpayments to the government within 60 days, a provision that has elicited much controversy and provider confusion since its inclusion in the Affordable Care Act (ACA).
- CMS proposes 2016 payment and policy updates for Medicare Health and Drug Plans
According to a press release issued on Feb 20, 2015 by CMS, there are proposed changes for the coming year for the Medicare Advantage (MA) and Part D Prescription Drug Programs that will advance Health and Human Services Secretary Sylvia M. Burwell’s vision of building a better, smarter health care system and moving the Medicare program, and the health care system at large, toward paying providers based on the quality, rather than the quantity of care they give patients.
- CMS strengthens its five star quality rating system
The Centers for Medicare & Medicaid Services (CMS) issued a press release, giving detail to how it has strengthened the Five Star Quality Rating System for Nursing Homes on the Nursing Home Compare website to give families more precise and meaningful information on quality when they consider facilities for themselves or a loved one. The announcement also marks an important milestone to achieving the goal of implementing further improvements to the Five Star system in 2015, as the Administration announced last October.
- SNF PEPPER reports release in April
On or around April 20, CMS contractor TMF Health Quality Institute will release the third annual Program for Evaluating Payment Patterns Electronic Report (PEPPER) for SNFs—a resource characterized by both its unrivaled offering of free, comparative billing data and mediocre utilization by nursing home providers.
- Upcoming webcast! WEBCAST REBROADCAST: SNF Consolidated Billing: Who Really Has to Pay All These Invoices?
Tuesday, February 24, 2015, 1:00 p.m.-2:30 p.m. ETWhen a vendor invoice is received, are you confident with your skilled nursing facility consolidated billing processes and knowing whether or not it should be paid? Join expert Janet Potter, CPA, MAS, for this 90-minute webcast to review the five major categories of skilled nursing facility consolidated billing and the inclusions and exclusions that apply to each.
Long-Term Care Blog
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Care area triggers, the CAA process, and how they help the IDT
CMS change requests affect hospice
Prepare for Pre-Claim Review Demonstration no matter what: No guarantees PCR will quit before it comes to your state
PBJ updates make it easier for providers to submit hire, termination, and rehire information
How do electronic health records fit into long-term care?