SNFs Begin Making Cuts to Stay Profitable Under PDPM
Last week, Genesis Healthcare said “it has reorganized its therapy gyms in response to PDPM and other industry changes.” The company laid off 585 out of about 10,000 Genesis Rehab …
Insights and News
President Trump Signs Executive Order to Expand Medicare Advantage
President Donald Trump signed a new executive order created to expand Medicare Advantage. The order requires HHS and CMS to eliminate payment discrepancies between Medicare Advantage and traditional Medicare within …
SNF PDPM Assessments and Grouper Update from CMS
Important news for all SNF providers from CMS: “CMS is aware of issues with the latest PDPM DLL Package (V1.0002 FINAL). We are targeting to release an updated version on Monday, October …
Home Health Review Choice Demonstration (RCD) Starting Soon in Texas
The choice selection period will begin on October 16, 2019 and end on November 14, 2019 for Home Health Agencies (HHAs) located in Texas, who submit claims to Palmetto GBA, the Jurisdiction M Medicare …
October 3rd is the Start of the Last 90-Day EHR Reporting Period for the Promoting Interoperability Programs
CMS would like to remind Medicare Promoting Interoperability Program participants that the electronic health record (EHR) reporting period in 2019 is a minimum of any continuous 90-day period in CY …
Home Health Quality Reporting: Non-Compliance Letters
CMS is providing notifications to Home Health Agencies that were determined to be out of compliance with Home Health Quality Reporting Program (HH QRP) requirements, which will affect their CY …
CMS Reveals State-Level Wellness Program Demonstration
CMS released an informational bulletin announcing the opportunity for 10 states to apply to participate in a wellness program demonstration project. This bulletin gives states and issuers new flexibility to …
DOJ to Bring Criminal Charges Against “Worst of the Worst” Nursing Homes
The DOJ is making a push to identify criminal charges that can be brought against nursing homes and staff accused of abusing and defrauding elderly patients. The DOJ’s civil division has …
CMS’ New Rule Reduces Compliance Headaches
This week CMS released Omnibus Burden Reduction (Conditions of Participation) Final Rule. The rule “removes Medicare regulations identified as unnecessary, obsolete, or excessively burdensome on hospitals and other healthcare providers …
New Discharge Planning Requirements for Hospitals, Inpatient Rehabilitation Facilities, and Home Health Agencies
Today CMS issued a final rule that sets new requirements for discharge planning. CMS wants patients to have a more active role in the process, as well as continue to …