Rug-IV

Provider groups 'appalled' by CMS rule that would trim SNF payments by 11.1%

Provider groups 'appalled' by CMS rule that would trim SNF payments by 11.1%

Provider groups slammed the Centers for Medicare & Medicaid Services on Friday after the agency issued a final rule that would reduce Medicare payments to skilled nursing facilities by $3.87 billion for fiscal year 2012.

Administration explains possible huge nursing home pay-rate reduction

A possible Medicare payment rate reduction to skilled nursing facilities relates to higher-than-expected therapy classifications, federal officials explained Thursday.

Providers grapple with CMS 'rule'

Providers grapple with CMS 'rule'

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The Centers for Medicare & Medicaid Services has a lot of long-term care providers shaking their heads. They're not sure they heard one of CMS's latest proposed rules right.

What a year it was for nursing homes!

What a year it was for nursing homes!

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It's too bad that 2010 should end with a damning report about Medicare overbilling. It's not exactly the best way for nursing home providers to greet the new year.

Ode to the lame-duck session

Ode to the lame-duck session

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Lawmakers have been earning their keep lately. Given all the legislation that has passed, I could not resist writing this little holiday poem.

President signs Medicare extenders bill, Congress passes bill to create HHS national Alzheimer's project

President signs Medicare extenders bill, Congress passes bill to create HHS national Alzheimer's project

President Obama this week signed a measure that will extend the therapy caps exceptions process through 2011, restore the implementation date of RUG-IV to 2010 and delay a Medicare payment cut to doctors.

The road to the RUG-IV-related repeal

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Some good news—and just in time for the holidays. Nursing home providers can ring in 2011 knowing that residents will not be denied Medicare Part B outpatient therapy and the RUG-IV system won't change.

**SPECIAL BULLETIN: House votes to repeal RUG-IV delay, extend therapy caps exception process**

**SPECIAL BULLETIN: House votes to repeal RUG-IV delay, extend therapy caps exception process**

Medicare's RUG-IV system that began in October will remain in place, thanks to a $19.2 billion package passed today in the House of Representatives. The legislation also extends Medicare's therapy caps exception process until the end of 2011. The 409-2 vote comes one day after unanimous passage in the Senate. President Obama is expected to sign the measure into law once it reaches his desk.

House passes one-month 'doc fix'

House passes one-month 'doc fix'

Following the Senate's lead, the U.S. House Wednesday voted to extend current Medicare reimbursement rates for physicians through the end of the year. Other items, including legislation affecting the long-term care community, are on Congress's to-do list during this lame-duck session.

Ask the legal expert: Legal concerns for MDS and RUG-IV

Ask the legal expert: Legal concerns for MDS and RUG-IV

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John Durso, Esq. Ungaretti & Harris LLP

CMS says repeal of RUG-IV delay still possible, to relax MDS transmission rules

Federal regulators said Thursday they are hoping that Congress will act by the end of the year to keep in place full-time what is now being called a provisional RUG-IV nursing home Medicare payment system. Still, preparations for an alternate system recently began in earnest, an official for the Centers for Medicare & Medicaid Services said Thursday during the agency's monthly SNF Open Door Forum conference call.

CMS says it is correcting MDS 3.0 system glitch

CMS says it is correcting MDS 3.0 system glitch

The Centers for Medicare & Medicaid Services is planning to release final MDS 3.0 validation reports, including revised reports, by 9 p.m. tonight, the agency said Thursday. A coding error caused the agency to send incorrect reports, and has led to system downtime and confusion among nursing home providers since Oct. 1.

'Tis nursing home conference season

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It's hard to believe we're in the midst of another conference season. The American Health Care Association's annual meeting already has passed and the American Association of Homes and Services for the Aging's is about a week away.

CMS provider call next month to focus on RUG-IV changes, payment issues

CMS provider call next month to focus on RUG-IV changes, payment issues

The Centers for Medicare & Medicaid Services will host a conference call for providers on Nov. 9 to discuss some of the recent significant changes made to the Resource Utilization Group-Version 4 (RUG-IV) system.

The glitch

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It's amazing what some lines of computer code can do. In the case of the Centers for Medicare & Medicaid Services, it threw off the workings of the new MDS 3.0 system.

MDS 3.0 nursing home resident assessment tool goes into effect today

MDS 3.0 nursing home resident assessment tool goes into effect today

Perhaps the largest operational change in nursing homes since the beginning of the prospective payment system is taking place today. Implementation of MDS 3.0, a resident assessment tool, starts.

What MDS 3.0 will mean for nursing home providers

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So, it's finally here. MDS 3.0, the updated resident assessment tool, has officially taken effect. So how exactly will this highly anticipated system change the way you, nursing home providers, operate? There are several ways.

Providers get final session to query federal regulators before MDS 3.0 / RUG-IV start

The Centers for Medicare & Medicaid Services will host a skilled nursing / long-term care Open Door Forum conference call for providers at 2 p.m. (Eastern Standard Time) Wednesday. It is the final regularly scheduled forum before the scheduled Oct. 1 start of the new MDS 3.0 / RUG-IV assessment and payment systems. They have been called the most dramatic changes for providers in several decades.

Officials detail MDS, RUG transition options for skilled nursing

Officials detail MDS, RUG transition options for skilled nursing

Providers get a week to digest options for MDS 3.0 and RUG-IV transitions discussed during a conference call with federal regulators before attending another call in the series. The next call will be from 1 p.m. to 2:30 p.m. (Eastern Time) on Wednesday.

Provider conference call Wednesday to focus on MDS, RUGs, nursing home payment changes

The Centers for Medicare & Medicaid Services will host another free conference call Wednesday for providers to learn more about the transition from the RUG-III payment system to RUG-IV. The new MDS 3.0 resident assessment tool and RUG-IV will become effective Oct. 1.

CMS to host conference call on RUG-IV, payments on Tuesday

CMS to host conference call on RUG-IV, payments on Tuesday

The Centers for Medicare & Medicaid Services Tuesday will host a conference call on the Resource Utilization Group-Version 4 (RUG-IV) and the interim payment system this year for skilled nursing facilities.

Who knew? Repeal of RUG-IV delay in bill one day and out the next

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When crafting legislation, horse trades are a well-established part of the ritual. What's unfortunate is that many people who have a stake in these deals don't know about them.

Lawmakers remove repeal of RUG-IV delay from new jobless benefits package

Lawmakers Wednesday night made a significant change to the jobless benefits package, H.R. 4213. They removed a repeal of a one-year delay to the implementation of the RUG-IV skilled nursing payment system, the American Health Care Association Thursday confirmed to McKnight's.

CMS to host call next month on RUG-IV transition for skilled nursing facilities

The Centers for Medicare & Medicaid Services on Aug. 24 will host a conference call on the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Resource Utilization Group-Version 4 (RUG-IV).

House passes bill repealing one-year delay to RUG-IV system

House passes bill repealing one-year delay to RUG-IV system

Nursing home providers Wednesday commended the House for passing a bill that would eliminate the one-year delay to the RUG-IV case-mix classification system.

CMS conference call Wednesday to focus on RUG-IV, MDS 3.0

The Centers for Medicare & Medicaid Services will host a conference call Wednesday to discuss the Skilled Nursing Facility Prospective Payment System Resource Utilization Group-Version 4 (RUG-IV).

CMS to host call on interim implementation of RUG-IV

The Centers for Medicare & Medicaid Services will hold a conference call for skilled nursing home providers on the Resource Utilization Group-Version IV (RUG-IV) system this Wednesday, June 23, from 1:30 p.m. to 3 p.m. EDT. The toll-free call will review key aspects of the RUG-IV case-mix system, which will take effect on an interim basis on Oct. 1, 2010, according to the agency.

CMS might need six months before starting to reprocess nursing home payment claims, agency says

CMS might need six months before starting to reprocess nursing home payment claims, agency says

It could take federal regulators six months or more to devise and implement a new payment scheme for nursing homes after a new resident assessment tool goes active Oct. 1, an official with the Centers for Medicare & Medicaid Services said Thursday.

CMS to release revisions to nursing home manual today, to complete full RAI update in two weeks

A release of newly updated material for the RAI (Resident Assessment Instrument) manual used by nursing home operators is expected this morning. Also, the Centers for Medicare & Medicaid Services expects to have the "completely revised manual" out by June 18, the agency's Thomas Dudley said Thursday during a conference call.

Implementation of RUG-IV payment plan in 2010 to be interim measure, CMS stresses

Implementation of RUG-IV payment plan in 2010 to be interim measure, CMS stresses

The Centers for Medicare & Medicaid Services will implement "interim" payments that reflect the MDS 3.0 and RUG-IV system this October only if Congress does not pass legislation repealing the delay of RUG-IV until 2011, the agency emphasized Tuesday.