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- 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.
- President Obama's FY 2016 budget includes provisions related to Medicare
President Obama’s budget for fiscal year (FY) 2016 has been released and it includes many provisions related to Medicare. The budget would take close to $400 billion over a ten year period from Medicare, Medicaid, and other programs. The President’s budget proposal would use federal savings and revenues to reduce the deficit, replace sequestration of Medicare, and other federal programs for 2016 through 2025.
- CMS proposes to expand coverage for HIV screening to elders
The Centers for Medicare & Medicaid Services (CMS) is proposing to expand for HIV screening to elders. CMS proposes that the evidence is adequate to conclude that screening for HIV infection for all individuals between the ages of 15 and 65 years, is reasonable and necessary for the early detection of HIV and is appropriate for individuals entitled to benefits under Part A or enrolled under Part B.
Long-Term Care Blog
MDSCentral gives long-term care professionals MDS 3.0 news and resources to prepare for the new assessment system.
New ADA Guidelines for Diabetes Management in LTC Facilities
New report cites four areas of needed finance improvement in LTC
National Fire Protection Association publishes fire door guidance
Three-day rule reevaluated by CMS
Upcoming webcast: ICD-10: Where Are You Now?