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Policy Snapshot
July 22, 2016

Electronic submission of staffing data through the Payroll-Based Journal (PBJ) is required of all long-term care facilities in 2016. July 1 began 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
July 15, 2016

On July 7, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that updates payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2017. This year, CMS is proposing a reduction in the conversion factor for fee-for-service payment from 35.8279 to 35.7751. The change has resulted in slight decreases in payment rates for skilled nursing facility (SNF) visits as...

Policy Snapshot
July 15, 2016

The Comprehensive Addiction and Recovery Act of 2016 (CARA) was sponsored by Sens. Rob Portman (R-Ohio) and Sheldon Whitehouse (D-R.I.) and was recently passed with bi-partisan support in both Houses of Congress. The bill, which the President is expected to sign into law, includes language that would require Medicare Part D beneficiaries to use one pharmacy for all prescriptions, in an effort to lessen opioid abuse known as the “lock-in” provision. The bill, however, has an exemption for...

Policy Snapshot
July 8, 2016

AMDA - The Society for Post-Acute and Long-Term Care Medicine’s Board of Directors member Michele Bellantoni, MD, CMD, was recently appointed to represent the Society as the primary American Medical Association (AMA) Current Procedural Terminology (CPT) Advisor to succeed long time representative Dennis Stone, MD, MBA, CMD. The CPT Editorial Panel is engaged in an ongoing process improvement effort which includes re-examination of the CPT Category I and Category III criteria. The Society is proud to have Dr. Bellantoni represent the membership in this capacity.

Policy Snapshot
July 8, 2016

On June 30, CMS published 2015 Open Payments data, along with newly submitted and updated payment records for the 2013 and 2014 reporting periods. The Open Payments program requires that transfers of value by manufacturers of drugs, devices, biologicals, and medical supplies that are paid to physicians and teaching hospitals be published on a public website. For Open Payments program year 2015, health care industry manufacturers reported $7.52 billion in payments and ownership and investment interests to physicians and teaching hospitals. This amount is comprised of 11.90 million total...

Policy Snapshot
July 8, 2016

Tuesday July 12 from 1:30 to 3 pm ET

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

Learn about the reporting requirements for the new Skilled Nursing Facility (SNF) Quality Reporting Program (QRP), effective October 1, 2016. The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act)...

Policy Snapshot
July 8, 2016

The Improving Medicare Post-Acute Care Transformation Act of 2014 requires the submission of standardized data for specific assessment categories and quality measure domains using the assessment instruments the Centers for Medicare & Medicaid Services (CMS) currently requires for use by post-acute care (PAC) providers. To this end, CMS has contracted with the RAND Corporation and its partners, Abt Associates Inc. and Qualidigm to develop, modify, implement, and align PAC assessment data across four PAC settings including skilled nursing facilities, home health agencies, long-term care...

Policy Snapshot
July 1, 2016

This week, AMDA - The Society for Post-Acute and Long-Term Care Medicine was a key player at the 12th Annual Long-Term and Post-Acute Care (LTPAC) Health Information Technology (HIT) Summit in Reston, VA. Alex Bardakh, MPP, the Society’s Director of Public Policy and Advocacy, moderated a two-hour session with a Centers for Medicare & Medicaid Services (CMS) panel of experts followed by a reactor panel of LTPAC clinical and facility providers. The CMS panel, which included Shari Ling, MD, Deputy Chief Medical officer, Center for Clinical Standards and Quality, Tara McMullen, PhD,...

Policy Snapshot
July 1, 2016

This week AMDA - The Society for Post-Acute and Long-Term Care Medicine submitted comments on the Centers for Medicare & Medicaid Services (CMS) Proposed Rule on Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models.

The proposed rule was the first since the passage of the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA). The MACRA makes three important changes to how Medicare pays those who give care to Medicare beneficiaries. These changes...