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Date      Topic
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Sep 26, 2011

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Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2012; Correction
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Aug 8, 2011

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Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2012
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May 6, 2011

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Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Disclosures of Ownership and Additional Disclosable Parties Information
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Feb 26, 2009Revised January 2009, the Medicare Fraud & Abuse Fact Sheet is now available.
Feb 25, 2009The revised Skilled Nursing Facility (SNF) Spell of Illness Quick Reference Chart (January 2009), which provides Medicare claims processing information related to SNF spells of illness, is now available in downloadable format from the Centers for Medicare & Medicaid Services Medicare Learning Network
Feb 6, 2009Who Will Replace Daschle?
Feb 2009Massachusetts Long Term Care News: Governor Patrick’s SFY 2009 9C Actions and 2010 Budget Proposal
Sep 30 2008OIG Issues Supplemental Compliance Program Guidance for Nursing
Facilities
Sep 18 2008Memorandum Report: "Trends in Nursing Home Deficiencies and Complaints"
This memorandum report describes the nature and extent of nursing home deficiencies and complaints in 2007 and identifies trends from 2005 to 2007.
 
Nov 29
   
CMS PUBLISHES NATIONAL LIST OF POOR-PERFORMING NURSING HOMES, KEY TOOL FOR FAMILIES SEEKING QUALITY CARE
   
Nov 19



      
   
CareNumerix, LLC is pleased to announce it has added the results of Nursing Facility Health Inspections, Fire & Safety Inspections and CMS' Nursng Facility Quality Indicators to all its reports.  For more information please email Pam Corbin RN  
    
Nov 15


            
Statement of Steve Biondi, RN, LNHA, on Behalf of the American Health Care Association, for the U.S. Senate Special Committee on Aging hearing on Nursing Home Transparency, Enforcement & Quality Improvement
 
Oct 27



 
   
 
CMS Office of Public Affairs Press Release: BED SORES CAN BE STOPPED WITH PROPER CARE IN NURSING HOMES MEDICARE PROJECT SHOWS.
A diligent and sustained focus on preventing serious bed sores in nursing home residents was remarkably effective according to the results of a project sponsored by CMS. Click here for details.     
Oct 23
 
A study by RehabCare Group Inc. compares Medicare expenditures for patients treated at inpatient rehabilitation facilities and skilled nursing facilities.  
 
Oct 12


 
         
 
3rd Quarter Reports now available
The CareNumerix databases are now updated through Sept 30.  If you are a subscriber and have not received your updated report please email Jason Andrew.

Aug 28
 
AHCA Comments on CMS Proposed Rules on Medicare Revisit User Fees

To see the proposed rule:CMS' Proposed Rule.pdf
 
Aug 7




         
    
 
Medicare PPS and Consolidated Billing for SNFs for FY 2008
CMS issued its final rule for FY 2008 SNF PPS rates. In addition, the final rule revises and rebases the SNF market basket, and modifies the threshold for the adjustment to account for market basket forecast error.  Rates are effective Oct 1, 2007.  Cost Report clients should email Tim Jalbert if you have not received your facility's Rate Impact Analysis.
   
 
Jun 27


   
Medpac Comment letter: CMS's proposed rule entitled Medicare Program; PPS and Consolidated Billing for SNFs for FY08 (6/27/07)
 
 
Jun 26


  
   
GAO Recommends Adding Low Performing Nursing Homes to QIO Work and Strengthening Quality Measurement
Two-thirds of nursing homes say voluntary partnerships with QIOs helped them improve
 
Jun 13




National Data Points to Improved Nursing Home Quality
Strides Made Possible Through Culture of Cooperation between Quality Improvement Organizations and Providers
 
May 14
 



  
 
CMS AWARDS GRANTS TO 13 STATES FOR ALTERNATIVES TO NURSING HOME CARE
Thirteen states and the District of Columbia will get more than $547 million in grants over five years to build Medicaid long-term care programs that will help keep people at home and out of institutions, Leslie V. Norwalk, Acting Administrator of the CMS announced today.
  
Apr 30

CMS PROPOSES INCREASE IN MEDICARE PAYMENTS TO NURSING HOMES FOR 2008
 
Medicare payments to nursing homes would increase by approximately $690 million in fiscal 2008 under new rates proposed today by the Centers for Medicare & Medicaid Services (CMS). 
    
Jan 12




              
CMS AWARDS DEMONSTRATION GRANTS TO 17 STATES FOR ALTERNATIVES TO INSTITUTIONAL CARE

Seventeen states will receive more than $23 million in grants for FY 07 and up to $900 million over 5 years for demonstration programs that will help build Medicaid long-term care programs to keep people in the community and out of institutions.





Prior Year(s) News

AHCA/NCAL Applauds Rep. Ramstad for Introducing Bill to Eliminate Part D Co-Pays

FY 2007 Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities--Update--Notice

On July 27, 2006, CMS proposed a 3.1 percent increase in Medicare payment rates to HHAs for calendar year 2007. The proposed increase would bring an estimated extra $420 million in payments to HHAs next year. As part of this proposed rule, CMS is implementing pay-for-reporting provisions of the Deficit Reduction Act of 2005. View rule.  In addition, CMS proposed changes to Medicare payment for oxygen equipment and capped rental durable medical equipment (DME) due to the Deficit Reduction Act of 2005. View the DME Background information.

The revised FY 2006.2 (CMS posted 7/18/06) - Home Health Prospective Payment System (HH PPS) PC Pricer is now available for download.

CMS posts details on its Comprehensive Effort to Combat Medicaid Fraud and Abuse.  

Architects endorse private hospital rooms.  Building design could cut down on medical errors, help stop infection. July 16, 2006

AHA Comment Letter regarding CMS' interpretive guidelines for the location of CAHs (July 10, 2006)

AHA Comment Letter regarding the PPS for Inpatient Rehab Facilities for 2007 (July 5, 2006

Read the American Health Care Association's Statement to the Senate Committee on Commerce, Science & Transportation on June 21, 2006

The Rural Hospital and Provider Equity (HoPE) Act of 2006   View AHA'she letter to Sen. Thomas in PDF format.   View AHS's letter to Sen. Conrad in PDF format.

American Health Care Association has made available "A Guide to Nursing Facility Performance Measures (PDF; opens in new window)

The Centers for Medicare & Medicaid Services (CMS) has announced that its contingency plan for the HIPAA compliant transaction 835, or Electronic Remittance Advice, will expire on October 1, 2006.  A Special Edition MLN Matters article has been developed to help the Medicare fee-for-service provider community prepare for this change.  You can access the article here. (PDF)

The Coverage Gap: A State-by-State Report on Access to Care


An Important Message for Providers Regarding Medicare Part D from CMS Administrator, Dr. Mark McClellan (video)

Tim Jalbert to present at the 8th Annual Education Exposition on March 22, 2006 at the Best Western Royal Plaza in Marlborough, MA.  The title of the seminar is "Implementing an Effective Short-term Rehab Program."


The 2006 Skilled Nursing Facility (SNF) Consolidated Billing (CB) Annual Update File for Services Billed to Fiscal Intermediaries (FI) is available.  Please follow this link: http://www.cms.hhs.gov/snfconsolidatedbilling/01a_snfcbforfis.asp

NEW SNF PPS:   Medicare's new SNF RUG-53 PPS will be implemented beginning January 1, 2006.  Clients should have received a complete analysis of the impact of the changes on their operations from our Holliston Office.  If you haven't please contact Tim Jalbert at 603-867-7772.  Additional information on the new groups, software updates, payment implications, and other areas related to RUG-53 are available on CMS' new website: www.cms.gov

AHCA's 56th ANNUAL CONVENTION & EXPOSITION

Informative Seminars:

Barry Lazarus, Chair, AHCA Finance Subcommittee  "Medicare RUGS Refinement Issues Update"

See more at AHCA's Website www.ahcaconvention.org/presentations/

Please Note:  The News/information presented below is from a variety of sources.  We provide the information for the convienence of healthcare providers.  We also provide the information as soon as it is available.  Inevitably news is subject to change.  Please feel free to contact us about any issues you see here.


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