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Policy Snapshot
June 3, 2016

Electronic submission of staffing data through the Payroll-Based Journal (PBJ) is required of all Long Term Care Facilities in 2016. July 1 begins 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
June 3, 2016

Tuesday, June 21 through Wednesday, June 22

CMS is hosting a 2-day, in-person, train-the trainer event for the Skilled Nursing Facilities (SNF) Quality Reporting Program (QRP) in Atlanta, GA for SNF providers, associations, and organizations. The objective is to provide SNFs with an overview of the requirements under the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) and the QRP.

Visit the event...

Policy Snapshot
June 3, 2016

Where and When:
Long Term Post-Acute Care and Health Information Technology Summit
June 26–28, 2016 | CEUs: 18 Hyatt Regency Reston, Reston, VA
Learn more here

AMDA – The Society for Post-Acute and Long-Term Care Medicine is proud to once again be a strategic partner of the 11th Annual Long-Term and Post-Acute Care (LTPAC) Health Information Technology (HIT). For over 10 years, HIT leaders, key policy makers, leading providers, federal and state grantees, and other key healthcare...

Policy Snapshot
May 27, 2016

Visit the new Quality Payment Program webpage from the Centers for Medicare & Medicaid Services (CMS) for the latest information on key milestones, training opportunities, and educational materials about the new approach to paying Medicare clinicians for quality care. The Quality Payment Program stems from the bipartisan Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

Policy Snapshot
May 27, 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
May 20, 2016

MACRA Small Practices Fact Sheet: The Quality Payment Program: Flexibilities and Support for Small Practices and Practices in Rural Areas and Health Professional Shortage Areas

On April 27, 2016, the Department of Health and Human Services issued a Notice of Proposed Rulemaking to implement key provisions of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), bipartisan legislation that replaced the flawed Sustainable Growth Rate formula with a new approach to paying clinicians for the value and quality of care they provide.

Small practices...

Policy Snapshot
May 20, 2016

The Health Care Payment Learning & Action Network (HCP-LAN) final draft patient attribution white paper, entitled Accelerating and Aligning Population-Based Payment Models: Patient Attribution, includes 10 recommendations for designating the population for which a provider will accept accountability in a Population Based Payment...

Policy Snapshot
May 20, 2016

The Centers for Medicare & Medicaid Services released the 2014 Physician Quality Reporting System (PQRS) Experience Report. This annual report provides data and trends on participation, incentive eligibility, incentive payments, and payment adjustments. Report highlights include:

  • 1.32 million professionals were eligible to participate in PQRS in 2014
  • Participation increased by 11 percent in 2014 from 2013
  • ...
Policy Snapshot
May 13, 2016

The American Medical Association (AMA) is calling on doctors to avoid opioids, and preferably use non-pharmacologic therapy and non-opioid pharmacologic therapy. In an open letter to doctors, AMA President Steven Stack said physicians should avoid initiating opioids for new patients with chronic non-cancer pain and should limit the amount of opioids prescribed in post-operative and acute settings by prescribing the lowest effective dose for the shortest period of time if opioids are necessary.

Read Stack's letter...

Policy Snapshot
May 13, 2016

A revised Transitional Care Management Services Fact Sheet is available from the Centers for Medicare & Medicaid Services (CMS). The fact sheet provides information about:

  • Who can provide the service and supervision
  • Settings, components, and billing for TCM services.