Medicare

AHA Advises Development For New Skilled Nursing Facility’s Payment System

December 13, 2017

AHA Advises Development For New Skilled Nursing Facility’s Payment System   The American Hospital Association (AHA) has advised The Centers for Medicare & Medicaid Services (CMS) to devise an alternate method of reimbursement for skilled nursing facilities before the changes become part of the Rulemaking procedures. An Advance Notice of Proposed Rulemaking released in April … Continue reading “AHA Advises Development For New Skilled Nursing Facility’s Payment System”

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How Healthcare Providers Can Prepare For Two-Sided Risk

December 13, 2017

How Healthcare Providers Can Prepare For Two-Sided Risk Alternative payment models are becoming the norm for healthcare providers, as they transition to value-based care. With the implementation of this type of care, providers are expected to assume higher levels of risk by both commercial and government payers. The Medicare Shared Savings Program was introduced in … Continue reading “How Healthcare Providers Can Prepare For Two-Sided Risk”

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Major State of Change For Population Health

December 13, 2017

Major State of Change For Population Health   Population health management is undergoing a massive change throughout 2017. Some of the larger changes include substantial initiatives for patient engagement as well as increased investments in health IT platforms. Smaller shifts in the industry are also apparent across the board, in the form of changes to … Continue reading “Major State of Change For Population Health”

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CMS Expands Mandatory Bundling Program

July 30, 2017

CMS Expands Mandatory Bundling Program to Cardiac Care, Including Rehab The Centers for Medicare and Medicaid Services (CMS) has announced the latest in its move toward value-based payment systems—this time through the introduction of a mandatory bundling program for care associated with bypass surgery and heart attacks, including provisions that would incentivize the use of … Continue reading “CMS Expands Mandatory Bundling Program”

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Phase 1 Changes

October 28, 2016

Long Term Care Facilities Changes Phase 1 regulations for the newly reformed Long Term Care Facilities are effective November, 28, 2016. Below is a list of Phase 1 areas impacted that were discussed on the Medicare Learning Network call on October 27, 2016. • Resident Rights and Facility Responsibilities • Freedom from Abuse Neglect and … Continue reading “Phase 1 Changes”

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New Requirements

September 30, 2016

Important Day October 1, 2016 is an important day in the world of Long Term Care as a new Section on the MDS becomes mandatory call Section GG and ICD10 coding transition period comes to an end. Section GG is required on all admissions starting October 1 that have a Medicare Part A payer. Section … Continue reading “New Requirements”

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