Physicians' Resources

Your home for news, products, stories, and more specific to physicians practicing in post-acute and long-term care settings. 

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Health Policy
June 21, 2019

The Centers for Medicare & Medicaid Services (CMS) has contracted with Guidehouse to conduct data validation and audits of a select number of Merit-based Incentive Payment System (MIPS) eligible clinicians.  Data validation and audits are processes that will help ensure MIPS is operating with accurate and useful data. MIPS-eligible clinicians, groups, and virtual groups are required by regulation to comply with data-sharing requests, providing all data as requested by CMS.

If you are selected for data validation and/or audit, you will receive a request for information from...

Health Policy
June 21, 2019

The Centers for Medicare & Medicaid Services (CMS) is accepting Notices of Intent to Apply (NOIAs) via the Accountable Care Organization Management System (ACO-MS) for a January 1, 2020, start date. You must submit a NOIA if you intend to apply to the BASIC or ENHANCED track of the Medicare Shared Savings Program, for a Skilled Nursing Facility (SNF) 3-Day Rule Waiver, and/or to establish and operate a Beneficiary Incentive Program:

  • NOIA submissions are due no later than June 28 at noon ET
  • A NOIA submission does
  • ...
Health Policy
June 21, 2019

On June 17, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule  that would update the Part D e-prescribing program by adopting standards that ensure secure transmissions and expedite prior authorizations.

Under the proposed change, clinicians would be able to choose to complete prior authorizations online, reducing burden for...

Health Policy
June 14, 2019

The Centers for Medicare & Medicaid Services (CMS) created the Patients over Paperwork initiative to eliminate outdated, duplicative, and overly burdensome regulations so clinicians and providers can focus on their primary mission: patient care. Savings to providers and clinicians are estimated at $5.7 billion and 40 million burden hours through 2021. Estimated savings come from both final and proposed rules. This includes the elimination of 79 overly burdensome, redundant, or low-value measures for a projected savings of $128 million and anticipated reduction of 3.3 million burden...

Health Policy
June 14, 2019

The Centers for Medicare & Medicaid Services (CMS) is accepting Notices of Intent to Apply (NOIAs) via the Accountable Care Organization (ACO) Management System (ACO-MS) for a January 1, 2020, start date. You must submit a NOIA if you intend to apply to the BASIC or ENHANCED track of the Medicare Shared Savings Program, for a Skilled Nursing Facility (SNF) 3-Day Rule Waiver, and/or to establish and operate a Beneficiary Incentive Program:

  • NOIA submissions are due no later than June 28 at noon ET
  • An NOIA submission
  • ...
Health Policy
June 14, 2019

Last week, first-time Society delegates Wayne Saltsman, MD, PhD, CMD, and Walter Lin, MD, MBA, attended the American Medical Association (AMA) House of Delegates meeting in Chicago, IL. The Society tracked and reviewed hundreds of resolutions submitted by state and specialty societies dealing with a variety of top policy issues. While the Society did not submit any resolutions for this year’s meeting, there were many that we monitored closely.

The American Association Geriatric Physiatry (AAGP) introduced resolution 708, “Access to Psychiatric Treatment in Long-Term Care.” The...

Weekly Roundup
June 10, 2019

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On the May 28 AMDA On-The-Go podcast about the Patient Driven Payment Model (PDPM), host

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Weekly Roundup
June 2, 2019

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Society Treasurer Jeffrey Nichols, MD, CMD, is widely known for his popular “Dear Dr. Jeff “column in Caring for the Ages. However, he is more than that—much more. He currently is chief medical officer at the Gouverneur Skilled Nursing Facility in...

Weekly Roundup
May 26, 2019

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In Episode 31, AMDA On-The-Go host Wayne Saltsman, MD, PhD, CMD, and his guest, Michael Wasserman, MD, CMD, president of the California Association of Long Term Care Medicine (CALTCM), talked about “Leadership in Skilled Nursing Homes," including the...

Weekly Roundup
May 19, 2019

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AMDA On-The-Go podcast host Wayne Saltsman, MD, PhD, CMD, asked some tough questions at the beginning of his April 29 show on Appropriate Use of Antipsychotics in Long-Term Care Facilities. Specifically, “In the ever-swinging pendulum of health care, where...