CMS Releases a PAC Unified Payment System Prototype

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The Centers for Medicare & Medicaid Services (CMS) has released its Report to Congress: Unified Payment  for Medicare Covered Post-Acute Care, mandated by Congress under the Improving Medicare Post-Acute Care Transformation (IMPACT) Act. CMS has been directed to develop a technical prototype Unified Post-Acute Care (PAC) prospective payment system (PPS) that would set payment for PAC services […]

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Now in iQIES: Preview Reports & Star Rating for April 2022 Refresh

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For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) measure scores are based on the standard number of quarters. The April 2022 refresh will add new OASIS-based measures for public reporting in alignment with the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014: Percent of Residents Experiencing One or More Falls […]

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CMS Updates Benefit Policy Manual to Provide Hospice Clarifications

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The Centers for Medicare & Medicaid Services (CMS) has updated Chapter 9 of the Medicare Benefit Policy Manual to provide clarification for two hospice items: Election statement addendum Aggregate cap calculation methodology The clarifications are welcome especially for the election statement addendum.  Since its implementation last year hospices have been asking for more information about […]

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CMS Updates Benefit Policy Manual to Provide Hospice Clarifications

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The Centers for Medicare & Medicaid Services (CMS) has updated Chapter 9 of the Medicare Benefit Policy Manual to provide clarification for two hospice items: Election statement addendum Aggregate cap calculation methodology The clarifications are welcome especially for the election statement addendum.  Since its implementation last year hospices have been asking for more information about […]

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CMS Updates Benefit Policy Manual to Provide Hospice Clarifications

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The Centers for Medicare & Medicaid Services (CMS) has updated Chapter 9 of the Medicare Benefit Policy Manual to provide clarification for two hospice items: Election statement addendum, Aggregate cap calculation methodology. The clarifications are welcome, especially for the election statement addendum. Since its implementation last year hospices have been asking for more information about […]

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NAHC Supports The Resetting the IMPACT Act

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The National Association for Home Care & Hospice (NAHC) has joined the other major post-acute care organizations (American Health Care Association, American Medical Rehabilitation Providers Association, National Association of Long Term Hospitals, Leading Age+VNAA) to commend members of Congress for the introduction of The Resetting the IMPACT Act (TRIA) of 2021 and urge legislators to […]

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NEW TRAINING EVENT – Section N: Medications – Drug Regimen Review Web-Based Training

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The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course that provides an overview of the assessment and coding of the Drug Regimen Review standardized patient assessment data elements (SPADEs) found in the Medications Section of the guidance manuals. This 45-minute course is intended for providers in Home Health Agencies (HHAs), […]

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MedPAC Pushes for Aligning Payments, Regs, Benefits

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The Medicare Payment Advisory Commission (MedPAC) recently convened for a session furthering their work on the development of a unified post-acute care prospective payment system (PAC PPS). In this most recent session, a focus was placed on the applicability of co-pays and potential requirements to access post-acute care (PAC) care via a required hospitalization. MedPAC staff […]

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CMS Proposes Changes to Home Health Quality Reporting Program

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In the 2020 home health prospective payment system (HHPPS) rate update proposed rule, the Centers for Medicare & Medicaid Services (CMS) proposes a number changes to the Home Health Quality Reporting Program (HHQRP) for calendar year (CY) 2022. CMS proposes to eliminate one measure and add two new measures. In addition, in accord with the […]

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CMS to Add Publicly Reported Quality Measure for Home Health

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The Centers for Medicare & Medicaid Services (CMS) has announced that the Potentially Preventable 30-Day Post-Discharge Readmissions measure is scheduled to be publicly displayed in Home Health Compare with the October 2019 refresh. This measure was originally scheduled to be added to Compare with the January 2019 refresh, but CMS decided to conduct further testing. […]

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MedPAC Opposes Episode-Based Payment for Post-Acute, For Now

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On March 8, 2019 the Medicare Payment Advisory Commission (MedPAC) panel concluded that a unified payment system for post-acute care facilities should be based on each patient stay and not the entire episode of care. The discussion among commission members focused on how to create a unified prospective payment system to make Medicare fee-for-service payments […]

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