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
September 6, 2018

National Partnership to Improve Dementia Care and Quality Assurance Performance Improvement

Tuesday, September 18 from 1:30 to 3 pm ET

Register  for Medicare Learning Network events.

During this call, gain insight on opioid use in the post-acute and long-term care setting. Also, learn...

Health Policy
September 6, 2018

This week, the House Committee on Energy and Commerce (E&C) Subcommittee on Oversight and Investigations held a hearing entitled “Examining Efforts to Ensure Quality of Care and Resident Safety in Nursing Homes.” The purpose of the hearing was to explore the roles of the Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General at the U.S. Department of Health and Human Services (HHS) relating to the management and safety of nursing facilities.

Witnesses for the hearing included Kate Goodrich, MD, Director at the Center for Clinical Standards and...

AMDA – The Society for Post-Acute and Long-Term Care Medicine encourages post-acute and long-term care (PALTC) facilities to strengthen their employee immunization programs to protect employees and patients. The Society has updated its guidance on...
Spotlight
September 5, 2018

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Arif Nazir, MD, CMD, thrives on innovation, and he believes that innovators are a special breed. “I used to think that innovators are born that way. While there may be some truth to that, I also think that anyone who faces a problem and refuses to give up until a new solution is found is an innovator,” he says. “...

Weekly Roundup
August 31, 2018

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While the recent wildfires struck a part of California hundreds of miles away from his home and facility, they reminded Timothy Gieseke, MD, CMD, of a time not long ago when a similar disaster threatened his community of Santa Rosa, CA. Looking back, he learned much from his experience that can help his Society...

Health Policy
August 30, 2018

The Centers for Medicare & Medicaid Services (CMS) has posted 10 new proposed Recovery Audit Contractor (RAC) Review Topics to its website for a 30-day comment period. CMS began posting the proposed review topics last year in response to specialty societies that wanted to have the opportunity to provide feedback before the review topics are finalized. There are a few proposed review topics of particular interest...

Health Policy
August 30, 2018

If you participated in the Merit-based Incentive Payment System (MIPS) in 2017, your MIPS final score and performance feedback are available on the Quality Payment Program website. The payment adjustment you receive in 2019 is based on this final score. If you believe there is an error in your 2019 MIPS payment adjustment calculation, you can request a targeted review until October 1 at 8 pm.

Contact the Quality Payment Program at 866-288-8292 (TTY: 877-715-6222) or ...

Health Policy
August 30, 2018

On August 27, CMS released an evaluation report for the first performance year of the Innovation Center’s Next Generation Accountable Care Organization (ACO) Model showing promising early results. Results demonstrated the positive outcomes in terms of quality and costs when providers are responsible for managing to a budget. For the 2016 performance year, the Next Generation ACO Model generated net savings to Medicare of approximately $62 million while maintaining quality of care for beneficiaries. As part of its recent “Pathways to Success” proposal, CMS proposed taking many...

Health Policy
August 30, 2018
This week, the Society joined the American Medical Association and over 150 other medical organizations in opposing the Centers for Medicare & Medicaid Services (CMS) proposal to simplify evaluation and management (E/M) coding. The CMS proposal would collapse payment rates for eight office visit services for new and established patients down to two each. The proposed simplification would increase payments for services now provided under E/M levels 2 and 3 but would decrease payments for the more complex services now...
Recorded : Thursday, August 23, 2018 Speakers : Benjamin Chin; Brittany LaCouture; Molly MacHarris Description : Senior Centers for Medicare & Medicaid Services (CMS) officials will present a webinar on August 23 (2:00 - 3:30 pm Eastern Time)...