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Policy Snapshot
April 22, 2016

Thursday, April 28 from 1:30 to 3 pm ET To

Register: Visit MLN Connects Event Registration. Space may be limited, register early.

This call focuses on infection control, highlighting Antibiotic Stewardship and community-wide efforts, including a presentation from a nursing home administrator. Common concerns related to the clash between individualized, person-centered care and the medical model of controlling infections will also be addressed. This is critical for residents with dementia, who often...

Policy Snapshot
April 22, 2016

The Centers for Medicare & Medicaid Services (CMS) released a proposed rule to update Medicare inpatient payments for fiscal year 2017. CMS’s proposal would completely remove the two-midnight rule for the current and past two fiscal years by adjusting fiscal 2017 payment rates. NTOCC applauds CMS’s proposal to reverse the policy and has advocated for its removal since its introduction in 2013. The rule would also require hospitals to provide a notice to Medicare beneficiaries who have been receiving outpatient services for more than 24 hours informing them about the implications of...

Policy Snapshot
April 22, 2016

The Notice of Intent to Apply (NOIA) for the January 1, 2017, program start date of the Medicare Shared Savings Program is available for:

  • Accountable Care Organizations (ACOs) not currently participating in the program (initial applicants)
  • Currently participating ACOs with a 2014 start date intending to renew their agreement (renewing applicants)
  • Currently participating ACOs in or applying to the program under Track 3 (two-sided risk model) that intend to apply for the Skilled Nursing Facility (SNF) 3-Day Waiver

NOIAs must be submitted by 5...

Policy Snapshot
April 15, 2016

The Older American Act Reauthorization Act of 2016 (OAA) passed Congress recently and is expected to be signed into law by the President. The OAA makes important investments in creating a well-trained workforce and in providing person- and family-centered care for older Americans. Among other initiatives, the OAA supports three crucial family caregiver programs:

  • Family Caregiver Support Services program provides a range of support
  • ...
Policy Snapshot
April 15, 2016

“It Always Seems Too Early, until It’s Too Late." National Healthcare Decisions Day raises awareness about the importance of advance care plans. Did you know that beginning in 2016, Advance Care Planning (APC) services can be billed to the Medicare Physician Fee Schedule?

For More Information:

Policy Snapshot
April 15, 2016

The Centers for Medicare & Medicaid Services (CMS) has revised guidance at F329 in Appendix PP to enhance ease of use for surveyors and to include language related to how unnecessary use of medications may cause psychosocial harm to residents. Revisions include:

  • Removing medication tables to make F329 easier to use.
  • Replacing medication tables with up-to-date medication resources.
  • Revising Deficiency Categorization examples to show that noncompliance at F329 can cause significant psychosocial harm.

CMS requested feedback from surveyors...

Policy Snapshot
April 15, 2016

On April 11, the Centers for Medicare & Medicaid Services (CMS) announced its largest-ever initiative to transform and improve how primary care is delivered and paid for in America. The Comprehensive Primary Care Plus (CPC+) model, will be implemented in up to 20 regions and can accommodate up to 5,000 practices. The initiative is designed to provide doctors the freedom to care for their patients the way they think will deliver the best outcomes and to pay them for achieving results and improving care.

Primary care practices will participate in one of two tracks. Both tracks...

Policy Snapshot
April 15, 2016

The Centers for Medicare & Medicaid Services (CMS) posted the 2016 Electronic Clinical Quality Measures (eCQMs) annual update for eligible hospitals and eligible professionals to electronically report 2017 quality data for CMS quality reporting programs. Visit the eCQM Library or Electronic Clinical Quality Improvement Resource Center websites for information on how to download the measures. This year’s...

Policy Snapshot
April 15, 2016

Tuesday, April 19 from 1:30 to 3 pm ET

To Register: Visit MLN Connects Event Registration. Space may be limited, register early.

During this call, Centers for Medicare & Medicaid Services (CMS) subject matter experts will cover helpful tips to complete a successful application for the Medicare Shared Savings Program (Shared Savings Program). A question and answer session will follow the presentation.

We encourage call participants to review important information, dates, and materials on the...

Policy Snapshot
April 8, 2016

Review and dispute for Open Payments data began April 1 and will last for 45 days. The Centers for Medicare & Medicaid Services (CMS) will publish the 2015 payment data and updates to the 2013 and 2014 data on June 30, 2016.

Physicians and teaching hospitals must initiate any disputes during the review period. Review and dispute is voluntary but strongly encouraged. If you have never registered in the Open Payments system, initial registration is a two-step process and should only take 30 minutes. See the...