Publications

Members only publications are marked with a lock icon:
Filter By
Policy Snapshot
March 25, 2016

The Centers for Medicare & Medicaid Services (CMS) will issue a national provider Comparative Billing Report (CBR) on Subsequent Nursing Facility Evaluation and Management (E/M) Services in April 2016. The CBR, produced by CMS contractor eGlobalTech, will focus on providers of all specialties who bill Current Procedural Terminology codes 99307 through 99310 to report subsequent nursing facility E/M services. CBRs contain data-driven tables with an explanation of findings that compare providers’ billing and payment patterns to those of their peers in their state and across the nation....

Policy Snapshot
March 25, 2016

On March 9, 2016, the Centers for Medicare & Medicaid Services (CMS) released a new dataset, the Skilled Nursing Facility Utilization and Payment Public Use File (SNF PUF).  This data set, which is part of CMS’s Medicare Provider Utilization and Payment Data sets, details information on services provided to Medicare beneficiaries by skilled nursing facilities.  The new data include information on 15,055 skilled nursing facilities, over 2.5 million stays, and almost $27 billion in Medicare payments for 2013.  The data is posted on the CMS website...

Policy Snapshot
March 25, 2016

 The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the first session of a three-part Virtual Office Hours series regarding 2016 Physician Quality Reporting System (PQRS) quality measures. The series includes three separate sessions that cover topics related to PQRS measures, such as explaining what a quality measure is, measures-related resources, and next steps for participation in 2016 PQRS.

The first session, titled "2016 PQRS Reporting: Introduction to Quality Measures Reporting (session 1 of 3)", will take place on Tuesday, March...

Spotlight
March 25, 2016
For David LeVine, MD, CMD, Medical Director of Menorah Manor in St. Petersburg, FL, receiving AMDA’s 2016 Medical Director of the Year (MDOY) Award was a family affair. He accepted the honor at a general session during the AMDA – The Society for Post-Acute and Long-Term Care Medicine’s 2016 Annual Conference last week, with his wife, children, and parents in the audience, as well as members of his Menorah Manor ‘family.’ As he accepted his award, he noted that March 18th was also the 30th anniversary of the day he proposed to his wife; and the day prior, his family celebrated his daughter’s...
JAMDA
March 24, 2016

Diabetes mellitus is common in the nursing home (NH) population, yet little is known about prescribing of glucose-lowering medications in the NH setting. We describe trends in initiation of glucose-lowering medications in a national cohort of NH residents.

JAMDA
March 24, 2016

Mild cognitive impairment (MCI) is a condition in which an individual has minor problems with cognition that are worse than would normally be expected for a healthy person of the same age, but not severe enough to interfere with daily life. MCI has been introduced to describe a transition state between normal cognitive function and dementia. Indeed, individuals with MCI, especially persons with amnestic MCI, have an approximately 40% increased risk of converting into dementia within 5 years.1 This is well-documented in research-based memory clinics, but the conversion rate in more diverse...

JAMDA
March 24, 2016

Determining if a transfer of a skilled nursing facility (SNF) patient/resident to an acute hospital is potentially avoidable or preventable is challenging. Most previous research on potentially avoidable or preventable hospitalizations is based on diagnoses without in-depth root cause analysis (RCA), and few studies have examined SNF staff perspective on preventability of transfers.

JAMDA
March 24, 2016

As the size of the old-elderly population increases, the prevalence of dementia is rapidly increasing in Japan. The prevalence of dementia is assumed to be approximately 15% and that of mild cognitive impairment (MCI) is approximately 17% in Japanese people aged 65 and older, which is substantially higher than those in any other country.1 The number of persons with dementia is increasing all over the world as well, and dementia is a common challenge around the globe.

JAMDA
March 24, 2016

To describe emergency department (ED) utilization among long-stay nursing home residents with different levels of dementia severity.