From CGS: CMS has issued Change Request 11721 (MM11721), implementing two new G-codes for maintenance services furnished by physical and occupational therapy assistants on or after January 1, 2020. Please note that claims submitted with the new G-codes will not
HHS has released new reporting requirements for all providers that received COVID-19 grant funds. Any provider who has received greater than $10,000 in grants must report their expenses and lost revenue due to COVID-19. This threshold is much lower than
From the RELI Group: “The PEPPER Team has updated the maps that display the PEPPER retrieval rates for PEPPERs accessed via the PEPPER Resources Portal for each state/territory. Percentages reflect the PEPPER release that was completed July 29, 2020, for skilled
CMS has issued new guidance for nursing home visitation and COVID-19 infection control. CMS makes it clear that outdoor visitation is encouraged, and indoor visitation is possible if there have been no new infections in the facility for a minimum
CMS tasked MITRE, the operator of the CMS Alliance to Modernize Healthcare (Health FFRDC), with an urgent assignment: Convene a commission of experts to address safety and quality in nursing homes in relation to the public health emergency. The main
CMS issued guidance to state Medicaid directors designed to advance the adoption of value-based care strategies across their healthcare systems and align provider incentives across payers. Under value-based care, providers are reimbursed based on their ability to improve quality of
From McKnight’s Long-Term Care News: “The Centers for Medicare & Medicaid Services has withdrawn the much-criticized Medicaid Fiscal Accountability Rule that could have caused havoc for skilled nursing providers, in at least 11 states in particular. A vast array of
OIG conducted a new study because of concerns that Medicare Advantage organizations (MAOs) may use health risk assessments (HRAs) to increase risk adjusted payments inappropriately. The Medicare Advantage (MA) program provided coverage to 23 million beneficiaries in 2019 at a
HHS’ Assistant Secretary for Preparedness and Response recently published Discharge Planning and Care Coordination during the COVID-19 Pandemic, a resource developed in partnership with ACL and the Centers for Medicare & Medicaid Services. This tool is designed to support nurses,
CMS has provided an updated Tip Sheet is to help providers understand CMS’ public reporting strategy for the PAC QRP in the midst of the COVID-19 public health emergency (PHE). This Tip Sheet explains the CMS strategy to account for
