Important MIPS Dates and Deadlines
Clinicians and groups participating in MIPS have several important deadlines coming up. Add these tasks to your calendar and get them done early! December 31 – 2019 Promoting Interoperability Hardship …
Insights and News
Physician Self-Referral Regulations Proposed Rule Offers an Easier Path to Value-Based Reimbursement
From CMS: “On October 9, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to modernize and clarify the regulations that interpret the Medicare physician self-referral …
CMS to Place “Stop” Icon Next to SNFs that Have Received Abuse Citations
From the CMS Newsroom: “The Trump Administration and CMS announced a major enhancement of the information available to nursing home residents, families, and caregivers on the Agency’s Nursing Home Compare website. Later …
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 …
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 …