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Policy Snapshot
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 skilled services that can only be provided in SNF/swing-bed on a daily basis for a condition patient was treated for in prior hospital stay. They also noted that must include physician’s dated signature (printed name if signature is illegible)....

Policy Snapshot
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 related to revision of the State Operations Manual Appendix PP for Phase 2 of the Reform of Requirements for Long-Term Care Facilities...

Policy Snapshot
June 30, 2017

AMDA – The Society for Post-Acute and Long-Term Care Medicine strongly opposes the Better Care Reconciliation Act, H. R. 1628 (BCRA of 2017). The Society believes this legislation does not address and only worsens concerns expressed in response to the American Healthcare Act (AHCA) passed by the House of Representative earlier this year.

The Medicaid provisions of this bill will be detrimental to millions of...

Policy Snapshot
June 30, 2017

This week, the House of Representatives passed the Protecting Access to Care Act of 2017 (H.R. 1215) a bill supported by the Society through our work in The Health Coalition on Liability and Access (HCLA). The bill was introduced by Representative Steve King (R-IA) and would impose limits on medical malpractice litigation in state and federal courts by capping awards and attorney fees, modifying the statute of limitations, and eliminating joint and several liability.

The bill establishes:

  • Provisions governing health care lawsuits where coverage for the care was
  • ...
Policy Snapshot
June 30, 2017

Wednesday July 5 from 2 to 3:30 pm ET

Register for Medicare Learning Network events.

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) ended the Sustainable Growth Rate formula and established the Quality Payment Program, improving Medicare by helping doctors and other clinicians focus on care quality and making patients healthier. If you participate in Medicare Part B, the Quality Payment Program provides new tools and resources to help you give your patients the best possible care.

This...

Policy Snapshot
May 19, 2017

Due to extenuating circumstances, the reporting deadline for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Fiscal Year 2018 payment determination has been extended from May 15, 2017, to June 1, 2017.

The MDS assessment data for October-December (Q4) of calendar year 2016 are due with this submission deadline.

For a list of measures required for this deadline visit the...

Policy Snapshot
May 19, 2017

Monday, May 22 from 1 to 2 pm ET

Visit the event webpage to register.

Join the Centers for Medicare & Medicaid Services (CMS) for an overview webinar on the participation criteria used to determine inclusion in the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs):

  • An overview of MIPS participation requirements for individual clinicians and groups
  • Participation requirements for Advanced APMs and MIPS APMs
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  • ...
Policy Snapshot
May 19, 2017

Thursday, June 15 from 1:30 to 3 pm ET

To register or for more information, visit MLN Connects® Event Registration.

During this call, learn about appropriate assessment and evaluation for the accurate diagnosis of schizophrenia and other mental disorders. Also, find out about the DICE Approach™ - Describe, Investigate, Create, and Evaluate, a simple but comprehensive method to understand and support individuals living with dementia. Additionally, Centers for Medicare & Medicaid Services (CMS) experts share...

Policy Snapshot
May 19, 2017

The Society is once again a strategic partner for the upcoming 13th Annual Long-Term and Post-Acute Care (LTPAC) Health IT Summit being held in Baltimore, MD, June 26-27. The Summit focuses on key health information technology (HIT) issues facing clinicians and PALTC providers. This year’s Summit comes at a pivotal time when a spotlight is on PALTC providers to be key partners in value-based medicine. Many health systems are looking to build post-acute networks that are fully integrated and interoperable, but few...

Policy Snapshot
May 12, 2017

Unsure of your participation status in the Merit-based Incentive Payment System (MIPS)? Clinicians can now use an interactive tool on the CMS Quality Payment Program website to...