CMS

What you really need to know about the presidential election

What you really need to know about the presidential election

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Ignore the white noise over whether Hillary or The Donald will be a worse choice. There's a sleeper issue in the November elections, and it just might have a major impact on your long-term care organization.

New CMS administrator among the expected changes, as Clinton and Trump set up transition teams

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As Hillary Clinton and Donald Trump prepare their transition teams as part of their hoped-for march to the White House, one position is sure to catch long-term care officials' notice: The future leader of the Centers for Medicare & Medicaid Services.

Are you ready for some more quality? Doesn't matter

Are you ready for some more quality? Doesn't matter

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Did you feel the Earth move a bit extra Wednesday? Didn't think so, even though that was THE DAY that five new quality reporting measures were added to the calculations for nursing home grades.

A word to the regulators: Enough already!

A word to the regulators: Enough already!

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You probably don't need to be reminded that skilled care is regulated quite severely. And if it seems like things are getting worse for your facility, well that's because they probably are.

Answers to lingering questions about PBJ

Answers to lingering questions about PBJ

Even though the Payroll-Based Journal kick-off was last Friday, it's understandable that questions still cloud this new process. It behooves providers to get up to speed and become better informed as soon as possible.

SNF/LTC Open Door Forum to hit hot topics

The Centers for Medicare & Medicaid Services' monthly Open Door Forum conference call for skilled nursing and long-term care stakeholders will discuss a blockbuster list of hot topics Thursday. The agenda includes a Payroll-Based Journal update, talk about SNF waivers for the CJR initiative, and Nursing Home Compare Quality Measure updates.

Now that was one tough week

Now that was one tough week

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Most long-term care facilities would probably like to forget about last week. That's because two figurative bombshells exploded.

CMS, it's time to listen up

CMS, it's time to listen up

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The options for finding the most appropriate nursing home for a loved one are, shall we say, somewhat limited, especially when compared cars and other products. But there may be a solution to that.

How should long-term care providers celebrate? Let us count the ways

How should long-term care providers celebrate? Let us count the ways

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Long-term care operators have plenty of reasons to recoil and lick their wounds over the course of a year. But there are also good times when they should find reason to smile. Like this past week.

CMS call will discuss NOTICE Act requirements

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Long-term care providers might want to dial in to a conference call Monday that will discuss requirements of hospitals and other providers under the NOTICE Act.

CMS sneaks a trick in with its treats

CMS sneaks a trick in with its treats

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With so many regulatory changes kicking in on Oct. 1, it's no wonder providers were likely too distracted to notice the latest "trick" by the Centers for Medicare & Medicaid Services.

Uniform data collection key for SNF cost containment

Uniform data collection key for SNF cost containment

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When the Centers for Medicare & Medicaid Services announced in July that it was implementing a system of bundled payments for knee and hip operations in 75 geographic areas of the country, it prompted CFOs and accountants at many skilled nursing facilities to ask themselves an awkward question: What is our share of the episode cost to CMS, and what does this procedure actually cost us?

Be proactive with new CMS regulations

Be proactive with new CMS regulations

If you wait to only react to the process, you will have to bite off more than you can chew when the deadlines come.

LeadingAge rallies against proposed Medicare, Medicaid changes

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A leading nursing home advocate is mustering support to combat massive changes the administration has proposed for Medicare and Medicaid participation.

From volume to value: The conversation now applies to staffing

From volume to value: The conversation now applies to staffing

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It's all you hear about in healthcare today: from Volume to Value. With the July 30 release of the PPS proposed rule, we see how this discussion now applies to staffing.

SPH Analytics approved by CMS

SPH Analytics announced approval from the Centers for Medicaid & Medicare Services to administer the Consumer Assessment of Healthcare Providers and Systems for the Physician Quality Reporting System survey.

CMS lowers pay hike for skilled nursing facilities to 1.2%

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Medicare skilled nursing facilities would get a net 1.2% pay increase — totaling $430 million — in fiscal 2016 under a final rule issued by the Centers for Medicare & Medicaid Services late Thursday.

A tisket, a tasket ... No LPNs in the RN basket

A tisket, a tasket ... No LPNs in the RN basket

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Reporting direct care hours is nothing new, but the Affordable Care Act takes it to the next level with mandatory quarterly electronic submission of staffing and census data. This focus on staffing ratios should not come as a surprise — but you could be in for a shock if you don't pay attention to your details.

It's pretty clear what they're really committed to

It's pretty clear what they're really committed to

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It was quite a week for ironic juxtaposition in the nation's capital.

Obtaining critical claims data may soon get easier

Obtaining critical claims data may soon get easier

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The government plans to make new claims data and other resident-care information available to providers and entrepreneurs as never before. Is it too good to be true?

CMS plan would completely overhaul Medicaid managed care

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Over the next few weeks, the Centers for Medicare & Medicaid Services is expected to unveil an ambitious and comprehensive policy-making effort that promises to completely transform and radically overhaul the Medicaid managed care marketplace.

Practical advice on reducing antipsychotics

Practical advice on reducing antipsychotics

Two CMS tags —F-Tag 329, which addresses unnecessarily using antipsychotic drugs, and F-Tag 309, which addresses taking steps to reduce antipsychotic drug use — are used by nursing home surveyors to identify specific federal nursing home regulations in order to evaluate whether a nursing home is meeting quality of care, quality of life, safety, among other standards.

Hospice care becoming costlier, less aggressive, study finds

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Brown researchers examined the change in last-year-of-life Medicare expenditures during the most recent expansion of the program that began in 2004 and continued through 2009.

Certain brand name meds drive up Part D prices, CMS finds

Certain brand name meds drive up Part D prices, CMS finds

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A popular acid reflux medication was the costliest drug paid for by Medicare Part D in 2013, while a blood pressure medication was the most frequently prescribed, according to a new report on prescription drug prices.

Doctors' participation jumps in quality and e-prescribing programs

Doctors' participation jumps in quality and e-prescribing programs

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Physician participation in the CMS Physician Quality Reporting System and Electronic Prescribing Program grew 47% from 2012 to 2013, according to a federal report released late last week.

Online forum will explain new home health rating system

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A special one-hour, web-based open door forum will be held May 7 to explain to providers the new set of star ratings for the Home Health Compare website, the Center for Medicare & Medicaid Services announced.

Self-reporting False Claims Act violation averts litigation

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Long-term care providers would do well to know the lesson from one Pennsylvania continuing care facility, which averted costly litigation when it discovered and later reported irregularities of more than $1 million in Medicare claims.

Defeat the plague of improper claims

Defeat the plague of improper claims

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For recovery auditing professionals everywhere, performance-based payments are a financial best practice and the industry standard. The client wins when no upfront expenses occur and payments are made only when actual dollars are returned.

Watchdog: CMS should monitor Recovery Audit Data warehouse

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A new Government Accountability Office report recommends sweeping government reforms that would mitigate fragmentation and duplication of a number of Medicare and Medicaid programs.

Connecting the hospice compliance dots

Connecting the hospice compliance dots

If someone asked you if your hospice was compliant with the Centers for Medicare & Medicaid Office of Inspector General's Effective Compliance Program Guidance for Hospice, what would you tell them?

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