Publications

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September 1, 2017

Thursday, September 7 from 1:30 to 3 pm ET

Register for Medicare Learning Network events.

During this call, learn about the new Facility Assessment Tool to help identify and develop the specific assessment of your facility. Also, find out about frequently asked questions...

August 25, 2017

This week, the Society submitted a response to the Quality Payment Program (QPP) proposed rule the Centers for Medicare & Medicaid Services (CMS) issued earlier this summer. The rule, which addressed both the Merit-Based Incentive Payment System (MIPS)...

August 25, 2017

The Centers for Medicare & Medicaid Services (CMS) reminds the Medicare community of the Jimmo Settlement Agreement (January 2013), which clarified that the Medicare program covers skilled nursing care and skilled therapy services under Medicare’s skilled nursing facility, home health, and outpatient therapy benefits when a beneficiary...

August 18, 2017

This week, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule to reduce the number of mandatory geographic areas participating in the Center for Medicare & Medicaid Innovation’s (Innovation Center) Comprehensive Care for Joint Replacement (CJR) model from 67 to 34. In addition, CMS proposes to allow CJR...

August 18, 2017

According to the 2015 Comprehensive Error Rate Testing (CERT) Report released by the Centers for Medicare & Medicaid Services (CMS), the denial rate for Skilled Nursing Facilities (SNFs) increased from 6.9% in 2014 to 11% in 2015 due to missing or incomplete certification/recertification. CMS reminded that a statement must contain need for...

August 18, 2017

Thursday, September 7 from 1:30 to 3 pm ET

Register for Medicare Learning Network events.

During this call, learn about the new Facility Assessment Tool to help identify and develop the specific assessment of your facility. Also, find out about frequently asked questions...

August 11, 2017

As a part of its ongoing effort to help clinicians participate in the Quality Payment Program (QPP), the American Medical Association has released a new customizable resource, the MIPS Action Plan, to help physicians think strategically about how to successfully implement...

August 10, 2017

The Ways and Means Health Subcommittee Chairman Pat Tiberi (R-OH) announced a new initiative to reduce regulatory burden in the health care system. The Committee is working with physicians, nurses, clinicians, and other health care professionals, and will identify opportunities to reduce legislative and regulatory burdens on Medicare providers...

August 4, 2017

This week the Centers for Medicare & Medicaid Services (CMS) released information about the hardship exemption process for the Advancing Care Information Category of the Quality Payment Program (QPP) Merit-Incentive Base Payment System (MIPS). To apply you need to visit the...

August 4, 2017

The Centers for Medicare & Medicaid Services (CMS) has issued final rules outlining 2018 Medicare payment rates for skilled nursing facilities and hospice. The final rules are effective for fiscal year (FY) 2018 and reflect a broader Administration strategy to streamline administrative requirements for providers; support the patient-doctor...