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Policy Snapshot
August 12, 2016

Two new datasets are available through the Physician Compare Downloadable Database:

  • 2014 Physician Quality Report System (PQRS) clinical quality of care performance rates for six measures collected via claims for over 37,000 individual Eligible Professionals (EPs)
  • 2014 PQRS Group Practice Reporting Option (GPRO) performance rates for 14 measures collected via Web Interface, as well as eight CAHPS for PQRS survey of patients’ experiences summary survey measures for approximately 345 group
  • ...
Policy Snapshot
August 5, 2016

Wednesday, August 10 from 1:30 to 3 pm ET

To register or for more information, visit MLN Connects Event Registration. Space may be limited, register early.

Learn about Physician Quality Reporting System (PQRS) negative payment adjustments, feedback reports, and the informal review process for program year 2015 results and 2017 payment adjustment determination.

Policy Snapshot
August 5, 2016

Recordings of the webinars are available FREE for members.

THE ROLE OF QIOS IN NEW PAYMENT MODELS
Confused about MACRA? This webinar is for you and will give you the tools you need to succeed within the changing payment landscape. Click here to access the webinar.

PARAMETERS FOR DISCUSSING AND BILLING FOR THE NEW ADVANCE CARE PLAN CODE
This webinar discusses the value of ACP, the new ACP code, when to consider using it, and how to meet...

Policy Snapshot
July 29, 2016

A new fact sheet is available for the Skilled Nursing Facilities (SNFs) Readmission Measure (SNFRM). The SNF Value-Based Purchasing (VBP) program ties portions of SNF payments to performance on this measure, which is calculated by assessing the risk-standardized rate of all-cause, unplanned hospital readmissions for Medicare Fee-For-Service SNF patients within 30 days of discharge from a prior proximal...

Policy Snapshot
July 22, 2016

The 2016 edition of The Commonwealth Fund’s Scorecard on Local Health System Performance assesses the state of health care in more than 300 U.S. communities from 2011 through 2014, a period when the Affordable Care Act was being implemented across the country. In comparing health care access, quality, avoidable hospital use, costs of care, and health outcomes, the Scorecard shows that many U.S. communities experienced improvements: fewer uninsured residents, better quality of care in doctors’ offices, hospitals, and nursing homes, more efficient use of hospitals, and fewer deaths from...

Policy Snapshot
July 22, 2016

Electronic submission of staffing data through the Payroll-Based Journal (PBJ) is required of all long-term care facilities in 2016. July 1 began the first date of data collection. You will have up to 45 days to submit data from July 1, 2016-September 30, 2016. The last day to submit data for the quarter is November 14, 2016. ALL nursing homes are encouraged to register to submit data to prepare to meet this requirement and maintain compliance.

AMDA - The Society for Post-Acute and Long-Term Care Medicine met with the Centers for Medicare & Medicaid Services (CMS) and argued...

Policy Snapshot
July 15, 2016

On July 7, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that updates payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2017. This year, CMS is proposing a reduction in the conversion factor for fee-for-service payment from 35.8279 to 35.7751. The change has resulted in slight decreases in payment rates for skilled nursing facility (SNF) visits as...

Policy Snapshot
July 15, 2016

The Comprehensive Addiction and Recovery Act of 2016 (CARA) was sponsored by Sens. Rob Portman (R-Ohio) and Sheldon Whitehouse (D-R.I.) and was recently passed with bi-partisan support in both Houses of Congress. The bill, which the President is expected to sign into law, includes language that would require Medicare Part D beneficiaries to use one pharmacy for all prescriptions, in an effort to lessen opioid abuse known as the “lock-in” provision. The bill, however, has an exemption for...

Policy Snapshot
July 8, 2016

AMDA - The Society for Post-Acute and Long-Term Care Medicine’s Board of Directors member Michele Bellantoni, MD, CMD, was recently appointed to represent the Society as the primary American Medical Association (AMA) Current Procedural Terminology (CPT) Advisor to succeed long time representative Dennis Stone, MD, MBA, CMD. The CPT Editorial Panel is engaged in an ongoing process improvement effort which includes re-examination of the CPT Category I and Category III criteria. The Society is proud to have Dr. Bellantoni represent the membership in this capacity.