Under contract with the Centers for Medicare & Medicaid Services (CMS), states conduct standard and complaint surveys to determine whether health care providers, including nursing facilities, are providing care to patients in compliance with … [Read more...] about HHS Office of Inspector General Reports Inadequate CMS Oversight and Enforcement of States’ Nursing Home Surveys
Archives for January 2022
Public Health Emergency Renewed
Health and Human Services Secretary Xavier Becerra this week again renewed the nationwide public health emergency declaration due to the ongoing COVID-19 pandemic, setting it to expire on April 16, 2022. The public health emergency declaration has … [Read more...] about Public Health Emergency Renewed
CT Governor Issues Executive Order Requiring Nursing Home Visitors Have Vaccine and Booster or Proof of Negative COVID Test – CT Long Term Care Ombudsman Expresses Support and Offers Assistance if Needed
Citing a nearly 700% increase in confirmed nursing home cases over a three-week period from mid-December 2021 through January 4th, Governor Ned Lamont issued an Executive Order (EO) Wednesday evening requiring nursing home visitors and primary and … [Read more...] about CT Governor Issues Executive Order Requiring Nursing Home Visitors Have Vaccine and Booster or Proof of Negative COVID Test – CT Long Term Care Ombudsman Expresses Support and Offers Assistance if Needed
Center for Medicare Advocacy Special Report | The Role of AI-Powered Decision-Making Technology in Medicare Coverage Determinations
Artificial intelligence (AI)-powered decision-making tools that are used in health care utilization management (UM) are increasingly used by providers and plans to automate the medical review and prior authorization processes, direct post-acute care, … [Read more...] about Center for Medicare Advocacy Special Report | The Role of AI-Powered Decision-Making Technology in Medicare Coverage Determinations
CMA Alert | January 13, 2022
CMS Releases Proposed 2023 Rule for Medicare Advantage and Part D Plans On January 6, 2022, CMS released CY 2023 Medicare Advantage and Part D Proposed Rule (CMS-4192-P) and an accompanying Press Release describing the overall rule, and a separate … [Read more...] about CMA Alert | January 13, 2022
CMS Releases Proposed 2023 Rule for Medicare Advantage and Part D Plans
On January 6, 2022, CMS released CY 2023 Medicare Advantage and Part D Proposed Rule (CMS-4192-P) and an accompanying Press Release describing the overall rule, and a separate Press Release focusing on Part D prescription drug costs. The … [Read more...] about CMS Releases Proposed 2023 Rule for Medicare Advantage and Part D Plans
Skyrocketing COVID-19 Cases Lead to Hospital Struggles Across the Nation
The United States is facing the biggest surge of COVID-19 cases to date. According to the Centers for Disease Control and Prevention (CDC), on Tuesday, January 11, there were 797,216 new cases of the disease.[1] To put this into context, during the … [Read more...] about Skyrocketing COVID-19 Cases Lead to Hospital Struggles Across the Nation
CMS Again Revises Visitation Guidance in Nursing Facilities
In March 2020, at the beginning of the coronavirus pandemic, the Centers for Medicare & Medicaid Services (CMS) barred visitors from nursing facilities. Since then, it has issued multiple revisions to its guidance. On November 12, … [Read more...] about CMS Again Revises Visitation Guidance in Nursing Facilities
Jimmo Update: CMS Reminds Providers and Contractors of Medicare Coverage to Maintain or Slow Decline
Skilled nursing care and skilled therapy services for beneficiaries who need skilled care to maintain function or to prevent or slow decline is covered by Medicare. That is the message of reminders issued by the Centers for Medicare & Medicaid … [Read more...] about Jimmo Update: CMS Reminds Providers and Contractors of Medicare Coverage to Maintain or Slow Decline
CMS to Post Nursing Home Staff Turnover and Weekend Staffing Level Information on Care Compare
This month, the Centers for Medicare & Medicaid Services (CMS) will begin posting nursing staff turnover information and weekend staffing levels on the federal website Care Compare.[1] Specifically, CMS will post: Staff Turnover: “The … [Read more...] about CMS to Post Nursing Home Staff Turnover and Weekend Staffing Level Information on Care Compare