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Policy Snapshot
July 1, 2016

Thursday, July 7 from 1:30 to 3 pm ET

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

During this call, CMS experts discuss key quality measures related to the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) and how they will affect you. Also, find out about upcoming stakeholder...

Policy Snapshot
July 1, 2016

Terrence O’Malley, MD, CMD, a Massachusetts-based geriatrician and long-time member of AMDA – The Society for Post-Acute and Long-Term Care Medicine, has been named as the long-term care representative to the federal Health Information Technology Standards Committee (HITSC). He was appointed by U.S. Department of Health and Human Services (HHS) Secretary Sylvia Burwell.

As part of the HITSC, Dr. O’Malley will work on recommending standards, implementation specifications, and certification criteria for the electronic exchange and use of health information. “We have a shared vision...

Policy Snapshot
June 24, 2016

AMDA-The Society for Post-Acute and Long-Term Care Medicine recently submitted comments on the Centers for Medicare & Medicaid Services (CMS) proposed rule entitled Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities FY 2017, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and SNF Payment Models Research; Proposed Rule.

The Society noted that, “members often follow patients across the Post-Acute Care (PAC) spectrum, and as CMS tries to standardize measures across all PAC settings (IMPACT Act), clinicians could be a...

Policy Snapshot
June 24, 2016

Over the last few weeks, the U.S. Department of Health and Human Services (HHS) made several important announcements related to the Quality Payment Program, which is proposed to implement the new, bipartisan law changing how Medicare pays clinicians, known as the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). On June 20, HHS announced $20 million to fund on-the-ground training and education for Medicare clinicians in individual or small group practices of 15 clinicians or fewer. These funds will help provide hands-on training tailored to small practices, especially those...

Policy Snapshot
June 24, 2016

Groups of two or more Eligible Professionals (EPs) can avoid the -2.0% CY 2018 Physician Quality Reporting System (PQRS) payment adjustment by meeting the satisfactory reporting criteria through the 2016 PQRS Group Reporting Option (GPRO). The Physician Value - PQRS (PV-PQRS) Registration System is now open through June 30 for groups to select a GPRO reporting mechanism:

  • Qualified PQRS Registry
  • Electronic Health Record (EHR) via Direct EHR using certified EHR technology (CEHRT) or CEHRT via Data Submission Vendor
  • Web Interface (for groups with 25 or more
  • ...
Policy Snapshot
June 17, 2016

This week the American Medical Association (AMA) held their Annual Meeting of the House of Delegates in Chicago. The nation’s physicians, residents, and students gather together each year to weigh new AMA policy that will help advance the practice of medicine and improve the health of the nation.

AMDA - The Society for Post-Acute and Long-Term Care Medicine, represented by Delegate Eric Tangalos, MD, CMD, and Alternate Delegate Rajeev Kumar, MD, FACP,CMD, introduced four resolutions, which were passed by the Society’s House of Delegates during the Annual Conference held on March...

Policy Snapshot
June 17, 2016

Medicare Electronic Health Record (EHR) Incentive Program 2017 hardship exception applications are due by July 1, 2016, for eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) to avoid payment adjustments.

Policy Snapshot
June 10, 2016

Eligible professionals (EPs), eligible hospitals, and Critical Access Hospitals (CAHs) that wish to use the streamlined hardship exception application must submit their application by July 1, 2016. The streamlined hardship applications reduce the amount of information that EPs, eligible hospitals, and CAHs must submit to apply for an exception. The new applications and instructions for a hardship exception from the Medicare Electronic Health Records (EHR) Incentive Program 2017 payment adjustment are available below.

This new, streamlined application process is the result of PAMPA...

Policy Snapshot
June 10, 2016

The Centers for Medicare & Medicaid Services (CMS) is tracking the progress of the National Partnership to Improve Dementia Care in Nursing Homes by reviewing publicly reported measures. The official measure of the Partnership is the percentage of long-stay nursing home residents who are receiving an antipsychotic medication, excluding those residents diagnosed with schizophrenia, Huntington's Disease or Tourette’s Syndrome. In fourth quarter of 2011, 23.9 percent of long-stay nursing home...

Policy Snapshot
June 10, 2016

The Medicare Payment Advisory Commission (MedPAC) issued a letter on May 25, 2016, commenting on the Centers for Medicare & Medicaid Services’ (CMS) proposed rule relating to payment updates for skilled nursing facilities (SNFs). The letter, entitled “Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2017, SNF Value-Based Purchasing Program, SNF quality reporting, and SNF payment research,” includes comments...