Home Health Issue Brief - Statistical Trends and Published Articles with Studies and Research from 2002-2017 Final Rules for New Medicare Reimbursement System for Skilled Nursing Facilities: Goodbye Therapy The Center for Medicare Advocacy … [Read more...] about CMA Alert – HH Issue Brief; SNF Reimbursement Rules – Goodbye, Therapy; Comments on Medicaid Work Requirements
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Final Rules for New Medicare Reimbursement System for Skilled Nursing Facilities: Goodbye Therapy
Effective October 1, 2019, CMS will replace the prospective payment system for skilled nursing facilities, Resource Utilization Group (RUG-IV), with a new prospective payment system called the Patient-Driven Payment Model (PDPM).[1] In all … [Read more...] about Final Rules for New Medicare Reimbursement System for Skilled Nursing Facilities: Goodbye Therapy
CMA Alert – SNF Payment Proposal Would Gut Therapy; Short-Term “Junk” Insurance Plan Harm; Home Health Highlight
Health Care Sabotage: More on Short-Term Limited-Duration “Junk” Plans Home Health Highlight: People Can Leave Home and Still Receive Medicare-Covered Home Care CMS Tries Again: Another New Skilled Nursing Facility Medicare … [Read more...] about CMA Alert – SNF Payment Proposal Would Gut Therapy; Short-Term “Junk” Insurance Plan Harm; Home Health Highlight
CMS Tries Again: Another New Skilled Nursing Facility Medicare Reimbursement System Proposed – If Implemented, Would Gut Therapy
Proposed changes to nursing facility payment under consideration by CMS would reduce financial incentives to provide therapy, and would do so with such force – providing higher reimbursement to skilled nursing facilities (SNFs) that provide … [Read more...] about CMS Tries Again: Another New Skilled Nursing Facility Medicare Reimbursement System Proposed – If Implemented, Would Gut Therapy
May 2018 – Recent Policy Changes Relating to Medicare Advantage & Other Issues
Welcome and Housekeeping (David Lipschutz, Moderator) Recent Policy Changes Relating to Medicare Advantage (David Lipschutz) New Medicare Advantage “Flexibilities” Impact on Beneficiary … [Read more...] about May 2018 – Recent Policy Changes Relating to Medicare Advantage & Other Issues
May 2018 – Recent Policy Changes Relating to Medicare Advantage & Other Issues
RECENT POLICY CHANGES RELATING TO MEDICARE ADVANTAGEThe first few months of 2018 have seen a number of changes in law, regulations and sub-regulatory guidance that impact the Medicare program, particularly Part C, known as Medicare Advantage … [Read more...] about May 2018 – Recent Policy Changes Relating to Medicare Advantage & Other Issues
January 2018 – Medicare Appeals & Other Issues
MEDICARE APPEALSExpedited v. Standard Appeals – Not Knowing the Difference Can Cost You Your Appeal RightsHere’s the IssueExpedited Medicare appeals and standard Medicare appeals are designed to address different things … [Read more...] about January 2018 – Medicare Appeals & Other Issues
Annotated Bibliography: Observation Status
Abbey, Duane. “Inpatient Versus Outpatient: The Real Issue.” RAC Monitor. 06 March 2014. http://www.racmonitor.com/rac-enews/1618-inpatient-versus-outpatient-the-real-issue.html (site visited September 21, 2016).The author writes … [Read more...] about Annotated Bibliography: Observation Status
CMA Alert – OIG Warns of Abuse in SNFs; Ted Kennedy, Jr. Joins CMA Advisory Board; “Jimmo” Corrective Action Plan
HHS OIG Warns of Potential Elder Abuse in Skilled Nursing Facilities Connecticut State Senator Ted Kennedy, Jr. Joins Center for Medicare Advocacy Advisory Board Jimmo Corrective Action Plan CompletedHHS OIG Warns of Potential Elder Abuse … [Read more...] about CMA Alert – OIG Warns of Abuse in SNFs; Ted Kennedy, Jr. Joins CMA Advisory Board; “Jimmo” Corrective Action Plan
Jimmo Corrective Action Plan Completed
Jimmo Corrective Action Plan CompletedCMS Adds Resources Regarding Medicare Coverage To Help People Who Need Skilled Maintenance Nursing or TherapyAs ordered by the federal judge in Jimmo v. Sebelius, the Centers for Medicare and Medicaid … [Read more...] about Jimmo Corrective Action Plan Completed