Hospice News

NOVEMBER 27, 2022

A leading cause of fraud involves hospices billing Medicare for services for which patients were not eligible, according to a 2021 report from Bass, Berry, & Sims. Some hospices have already begun seeing penalties from a rise in UPIC audit activity, including reimbursement suspensions or Medicare claim repayments.

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Hospice News

SEPTEMBER 20, 2024

Unroe has worked in advance care planning and palliative care, dating back to experience at the Duke University Medical Center as a Geriatric Fellow and as a fellow for the Office of Disability, Aging, and Long Term Care Policy at the U.S. According to July 2022 research from the U.S.

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Hospice News

JUNE 21, 2023

Longer general inpatient hospice stays and high-cost issues are reasons for the audit, dubbed the “Audit of Selected, High-Risk Medicare Hospice General Inpatient Services,” according to OIG. Through the audit, OIG will determine whether hospice providers that billed for general inpatient care complied with Medicare requirements.

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Daily Nurse

APRIL 24, 2023

According to “The 2022 Nurse Practitioner Professional Liability Exposure Claim Report: 5th Edition,” claims again nurse practitioners (NPs) are rising. NSO’s & CNA’s report entitled, The 2022 Nurse Practitioner Professional Liability Exposure Claim Report: 5th Edition , revealed that aging services claims increased from 17.2

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Rehab Realities by Renee Kinder

SEPTEMBER 1, 2022

On July 29, 2022, the Centers for Medicare & Medicaid Services issued a final rule that updates Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2023. . • One eating item. • One toileting item. • Two walking items.

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Rehab Realities by Renee Kinder

NOVEMBER 10, 2022

Medicare has released the calendar year 2023 final rule related to Medicare Part B, which is impacted by the physician fee schedule and determines rates and coding updates for your rehab providers. to the CY 2022 PFS conversion factor of $34.61. Click here for a fact sheet on final changes to the Medicare Shared Savings Program.

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Rehab Realities by Renee Kinder

DECEMBER 9, 2021

What new areas of regulatory change will your teams monitor in 2022? An excerpt from that blog here: The Centers for Medicare & Medicaid Services has consulted with Acumen in an effort to establish a comprehensive approach to Medicare Part A PPS SNF payment reform. Renee Kinder. The new year is upon us. . Survey trends?

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Rehab Realities by Renee Kinder

APRIL 25, 2024

The recently published “Quality in Motion: Acting on the CMS National Quality Strategy April 2024” highlights further evolution of the 2022 Centers for Medicare & Medicaid Services (CMS) National Quality Strategy (NQS). National reach, stratified, and most importantly, evidence based. How is testing of measures completed?

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Rehab Realities by Renee Kinder

JUNE 9, 2022

Therapists across the nation have seen the benefits of telehealth service allowances since the initial Centers for Medicare & Medicaid Services announcement of the telehealth expansion in an April 30, 2020, press release and its COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers.

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Rehab Realities by Renee Kinder

MAY 11, 2023

The CR is an attempt to increase comprehension of correct billing practices under the PDPM by all SNF providers that bill Medicare. The key elements of this project include: All MACs that review SNF Medicare claims MACs will select 5 claims from each selected provider. in 2022, up from 7.79% in 2021.

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Rehab Realities by Renee Kinder

MARCH 31, 2022

Medicare still currently considers these codes to be non-covered. Additionally, as members of a holistic IDT, it is essential that we understand all of the care options for those we serve. For this reason, above all others, therapists having an understanding of DMPAG is vital in 2022 and rule making years ahead of us.

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Home Care Pulse

AUGUST 11, 2022

The care at home industry is also the only environment where long-term care providers are expected to deliver care to all their patients between the hours of 9 a.m. We have to question everything if we are going to meet the needs of the future,” Matt Kroll, President of Assistive Care Services at BAYADA explains.

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AJN Off the Charts

OCTOBER 19, 2023

On Sep 6, 2023, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for their widely anticipated minimum staffing requirements for long-term care facilities. The realities of today’s long-term care environment. HPRD, inclusive of RNs, LPNs, NAs. HPRD and 4.6

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Hospice News

JANUARY 31, 2024

Lightways has grown its pediatric palliative care program in recent years, tripling its clinical capacity with expanded geographic service regions, staff and census. The nonprofit’s pediatric program grew its capacity to 120 patients in 2022, a rise from a previous census volume of 40.

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Healthcare Law Insights blog

JULY 14, 2022

In direct response to the significant challenges experienced by long term care (LTC) facilities throughout the COVID-19 pandemic, the Biden-Harris Administration announced its commitment to improving safety and quality of care. The comment period for the Proposed Rule closed on June 10, 2022. Background .

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GeriPal

JANUARY 18, 2024

That was in April of 2022. Jessie Merlin is an addiction and palliative care physician, and professor of medicine at the University of Pittsburgh. As of December of 2022, there is no X waiver anymore. Anybody with a DEA and… I should be very careful because this is different for physicians and advanced practice providers.

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Rehab Realities by Renee Kinder

APRIL 14, 2022

On April 11, 2022, the Centers for Medicare & Medicaid Services issued a proposed rule that would update Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System for fiscal year 2023. . Renee Kinder. She can be reached at rkinder@broadriverrehab.com.

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Rehab Realities by Renee Kinder

AUGUST 4, 2022

Additionally, we received press releases related to CMS Acts to Improve the Safety and Quality of Care of the Nation’s Nursing Homes and CMS Seeks Public Feedback to Improve Medicare Advantage. Background: Nearly 140 million Americans (74 million for Medicaid, nearly 64 million for Medicare) benefit today from Medicaid and Medicare.

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Rehab Realities by Renee Kinder

APRIL 28, 2022

April 2022, however, also brings us a renewed approach and initiatives from the Centers for Medicare & Medicaid Services regarding its National Quality Strategy. Through this measure and others, CMS intends to propose the establishment of a maternity care quality hospital designation to be publicly reported on Medicare.gov. •

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GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Diane: Huge.

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Rehab Realities by Renee Kinder

MARCH 3, 2022

24, 2022, announcement from the Center for Medicare and Medicaid Innovation (Innovation Center) regarding a release for a Request for Applications (RFA) to solicit a cohort of participants for the Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model.

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Rehab Realities by Renee Kinder

MARCH 30, 2023

In December of 2022, the Centers for Medicare & Medicaid Services issued a proposed rule aimed at improving patient and provider access to health information and streamline processes related to prior authorization for medical items and services. urgent) requests and seven calendar days for standard (i.e.,

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