The IMPACT Act in 2017- last chance to register for CMS event

February 22, 2017
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The Bottom Line

Thursday, February 23 from 1:30 to 3 pm ET

To register or for more information, click here.

The Improving Medicare Post-Acute Care Transformation of 2014 (IMPACT Act) requires the reporting of standardized patient assessment data by Post-Acute Care (PAC) providers, including skilled nursing facilities, home health agencies, inpatient rehabilitation facilities, and long-term care hospitals.  During this call, CMS experts discuss goals, requirements, progress to date, and key milestones for 2017. A question and answer session follows the presentation.

CMS Issues Proposed Rule to Increase Patients’ Health Insurance Choices for 2018

February 16, 2017
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The Bottom Line

On February 15, 2017, The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for 2018, which proposes new reforms that are critical to stabilizing the individual and small group health insurance markets to help protect patients. This proposed rule would make changes to special enrollment periods, the annual open enrollment period, guaranteed availability, network adequacy rules, essential community providers, and actuarial value requirements; and announces upcoming changes to the qualified health plan certification timeline.

Advancing care coordination through episode payment models final rule

February 10, 2017
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Billing Alert for Long-Term Care

In late December, 2016, the Centers for Medicare & Medicaid Services (CMS) finalized new Innovation Center models that continue the Administration’s progress to shift Medicare payments from rewarding quantity to rewarding quality by creating strong incentives for hospitals to deliver better care to patients at a lower cost.

Bill introduced to add dental, hearing, and vision services under Medicare coverage

February 3, 2017
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Billing Alert for Long-Term Care

On January 12, 2017, lawmakers introduced a bill that lifts restrictions which previously prohibited Medicare from covering basic healthcare necessities such as eyeglasses, hearing aids, and dental care. The Seniors Have Eyes, Ears and Teeth Act (H.R. 508) is anticipated to improve beneficiaries’ quality of life, while decreasing healthcare costs by creating healthier seniors.

DMEPOS Competitive Bidding Round 2019 Announced

February 3, 2017
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The Bottom Line

On January 31, 2017, the Centers for Medicare & Medicaid Services (CMS) announced plans to consolidate all rounds and areas included in the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program into a single round of competition – Round 2019.  After the current Round 1 2017, Round 2 Recompete, and National Mail-Order competitions conclude on December 31, 2018, Round 2019 contracts will become effective on January 1, 2019 through December 31, 2021.  Round 2019 will include 141 competitive bidding areas (CBAs) and have a total of 11 product categories.

HIPAA, what can you share?

January 13, 2017
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The Bottom Line

Those of us who work in the healthcare industry are pretty familiar with HIPAA; however, on occasion there is still confusion about what can and cannot be shared with others. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was established in an effort to protect the privacy of individually identifiable health information. Although it’s been around for many years, many of us are still confused by all the rules and regulations.

2017 Resolutions: What to prioritize in the ever-evolving postacute landscape

January 6, 2017
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The Bottom Line

With a new year upon us and (perhaps) the most amount of free-flowing health policy changes happening or about to happen in decades, it seems appropriate to create some simple resolutions for the year ahead. Similar to the personal resolutions most people make (get healthy, lose weight, clean closets, etc.), the following are about improvements in the business and operating environments. 

A year of ambiguity alleviated by OIG’s familiar plans

January 6, 2017
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Billing Alert for Long-Term Care

In the months leading to the New Year, much was left to be desired for long-term healthcare providers: Namely, answers. Beginning with anticipation over how CMS’ revision overhaul of Conditions of Participation (CoP) for Medicare will play out during Phase 1 (and 2, and 3) of the new survey process, and ending with scattered talk among the Trump administration of “repeal and replace” of ACA, providers have been anticipating the last straw.

Dementia Care Added to Medicare Advantage Value-Based Insurance Design Model

December 22, 2016
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Billing Alert for Long-Term Care

Experts say care for dementia patients may get a boost now that the condition is being added to The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation Medicare Advantage Value-Based Insurance Design (MA-VBID) model. I definitely see it as a positive,” says Renee Kinder, MS, CCC-SLP, RAC-CT, director of clinical education for Encore Rehabilitation Services in Louisville, Kentucky.

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