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Policy Snapshot
February 3, 2017

As of July 1, 2016, electronic submission of staffing data through the Payroll-Based Journal (PBJ) is mandatory for all long-term care facilities. You have up to 45 days after the end of the quarter to submit data for Federal Fiscal Quarter 1 (October 1, 2016-December 31, 2016.) The final submission file for this quarter is due on February 14, 2017. The Centers for Medicare & Medicaid Services (CMS) encourages facilities to submit as soon as possible and not wait until just before the deadline.

CMS has added an indicator to the Nursing Home Compare website that...

Policy Snapshot
February 3, 2017

The Registration and Attestation System is now open. Providers participating in the Medicare Electronic Health Record (EHR) Incentive Program must attest to the 2016 program requirements by February 28 to avoid a 2018 payment adjustment.

  • The EHR reporting period is any continuous 90 days between January 1 and December 31, 2016.
  • If you are participating in
  • ...
Policy Snapshot
January 27, 2017

Earlier this month the Centers for Medicare & Medicaid Services (CMS) released updated guidance for billing Chronic Care Management (CCM) Services. That guidance provided key improvements on 2017 billing of three codes for CCM services with payment ranging from $43 to $141, depending on the complexity of the patient’s needs. The Society has now confirmed with CMS that the agency has clarified their position and will reimburse for these codes for services furnished...

Policy Snapshot
January 27, 2017

This week, two pieces of legislation were introduced as replacements for the Affordable Care Act (ACA). U.S. Senators Susan Collins (R-ME), Bill Cassidy, MD (R-LA), Shelley Moore Capito (R-WV) and Johnny Isakson (R-GA) introduced the Patient Freedom Act of 2017. While Senator Rand Paul (R-KY) introduced S. 222, the Obamacare Replacement Act.

The Patient Freedom Act of 2017 would give power to state capitols in order to increase access to affordable health insurance and improve patient choice, while preserving important consumer protections. This proposal eliminates “costly...

Policy Snapshot
January 20, 2017

A data brief released by the Centers for Medicare & Medicaid Services (CMS) this week, noted dramatic reductions in avoidable hospitalizations over the last several years. CMS along with the help from the Affordable Care Act, and working with other federal government agencies, states, patient organizations, and others began to identify and prevent health conditions that have caused long-term care residents to be unnecessarily hospitalized.

CMS found that in “2015, Medicare fee-for-service (FFS) beneficiaries living in long-term care facilities had a total of 352,000...

Policy Snapshot
January 20, 2017

The Centers for Medicare & Medicaid Services (CMS) has posted the second annual release of the Skilled Nursing Facility Public Use File (Skilled Nursing Facility PUF) with data for 2014. The Skilled Nursing Facility PUF presents summarized information on services provided to Medicare beneficiaries by skilled nursing facilities. It contains information on utilization, payment (Medicare payment and Medicare standardized payment), submitted charges, and beneficiary demographic and chronic condition indicators organized by CMS Certification Number (6-digit provider identification number),...

Policy Snapshot
January 20, 2017

The Registration and Attestation System is now open. Providers participating in the Medicare Electronic Health Record (EHR) Incentive Program must attest to the 2016 program requirements by February 28 to avoid a 2018 payment adjustment.

  • The EHR reporting period is any continuous 90 days between January 1 and December 31, 2016.
  • If you are participating
  • ...
Policy Snapshot
January 13, 2017

The Centers for Medicare & Medicaid Services (CMS) recently approved a number of changes to the payment rules for Chronic Care Management (CCM) services under Medicare Part B for CY 2017 to reduce administrative burden and improve payment accuracy.

Key improvements for 2017 include increased payment and additional codes. The single CCM code paid approximately $42 an now there are three codes and payment can range from $43 to over $141, depending on the complexity of the patient’s needs. See the...

Policy Snapshot
January 13, 2017

The Centers for Medicare & Medicaid Services (CMS) contracted with RTI International and Abt Associates to develop and implement two Transfer of Health Information and Care Preferences (TOH) quality measures for skilled nursing facility, inpatient rehabilitation facility, long-term care hospital, and home health agency settings. The TOH measures meet requirements under the Improving Medicare Post-Acute Care Transformation Act (IMPACT Act) of 2014. As part of the measure development process, we are pilot testing the TOH measures to investigate data collection methods, time to complete...

Policy Snapshot
January 13, 2017

CMS is hosting the call on Tuesday, January 24 from 2 to 3:30 pm ET T

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

During this call, find out how to complete the final reporting period for the legacy Medicare quality reporting programs and transition to the Merit-based Incentive Payment System (MIPS). A question and answer session follows the presentation.