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Policy Snapshot
May 12, 2017

This week the Centers for Medicare & Medicaid Services (CMS) announced a three-year extension for state Medicaid programs to meet the Home and Community Based Services (HCBS) settings requirements for settings operating before March 17, 2014. This extension is in response to states’ request for more time to demonstrate compliance with the regulatory requirements and ensure compliance activities are collaborative, transparent, and timely.

“Medicaid programs are strongest when states have time to engage with beneficiaries and their families to ensure these programs fit their...

Policy Snapshot
May 12, 2017

The Centers for Medicare & Medicaid Services has released a revised SNF Billing Reference Booklet. The booklet reviews common questions about billing in the SNF, tips and special situations. It also details common situations that happen with the SNF and how to handle the billing for it. It is available...

Policy Snapshot
March 10, 2017

This week, the House Republicans introduced their legislation to repeal and replace parts of the Affordable Care Act (ACA). The bill, the American Health Care Act, was introduced through a budget process known as reconciliation and focuses on giving states broad flexibility to design programs that best serve their populations and increase access to preventative...

Policy Snapshot
March 10, 2017

Several Society members who have been participating in The Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents, that was launched in 2012 by the Centers for Medicare & Medicaid Services (CMS), are encouraged by a recent report showing the project is making a difference. CMS launched this project in an effort to improve the quality of care for people residing in long-term care (LTC) facilities by reducing avoidable hospitalizations by using evidence-based clinical and...

Policy Snapshot
March 10, 2017

The Society has compiled a FAQ on the most asked MACRA, MIPs and APM related questions received from Society members. Click here to access it.

Policy Snapshot
March 3, 2017

This week the Government Accountability Office (GAO) publicly released a report entitled “HHS Needs to Improve Planning and Evaluation of Its Efforts to Increase Information Exchange in Post-Acute Care Settings.” The report recommends that the Department of Health and Human Services (HHS) evaluate the effectiveness of its key efforts to increase the use of electronic health records (EHRs) and electronic information exchange, as well as comprehensively plan for how to achieve the department's goal regarding the...

Policy Snapshot
March 3, 2017

Senator Chuck Grassley (R-IA) and Senator Richard Blumenthal (D-CT) recently introduced the Elder Abuse Prevention and Prosecution Act (S.178). The goal of S.178 is to minimize elder abuse and exploitation, and to establish an infrastructure within the justice system to better support victims in elder abuse and exploitation cases.

The bill calls for enhanced training of federal investigators and prosecutors. It would ensure that each federal judicial district has at least one prosecutor who is...

Policy Snapshot
March 3, 2017

This week the Senate Finance Committee is voting on approving Seema Verma to lead the Centers for Medicare & Medicaid Services (CMS). The committee’s initial vote on Wednesday was a tie and a later vote did not count because it included proxy votes which do not count under committee rules. A final vote was expected Thursday and it appears the committee will approve her nomination and send it to the full Senate for a confirmation vote.

During Ms. Verma’s confirmation hearing early in February, Senator Sherrod Brown (D – OH.) asked a question about Observation Status. Ms. Verma...

Policy Snapshot
March 3, 2017

A revised Transitional Care Management Services Fact Sheet is available. Learn about:

  • Health care professionals furnishing these services and supervision
  • Services settings, components, and billing
  • Frequently asked questions on billing
  • ...
Policy Snapshot
February 24, 2017

The Trump Administration took action to freeze regulations released by federal agencies through a memo issued by Chief of Staff Reince Priebus on January 20, 2017. The memo states that agencies cannot release any new regulations or guidance documents, must pull back any regulations or guidance under review by the Office of the Federal Register, and must temporarily postpone regulations and guidance that have been published, but have yet to take effect. The purpose of the freeze is so that new Administration appointees at the various agencies can review these regulations. We believe that...