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  • CMS Updates Medicare Payment Rates, Quality Reporting Requirements
    CMS Updates Medicare Payment Rates, Quality Reporting Requirements Final rules include policies to be more responsive to patients’ needs The Centers for Medicare & Medicaid Services (MS) has issued three final rules outlining 2018 Medicare payment rates for skilled nursing facilities, hospice, and inpatient rehabilitation facilities. The final rules are effective for fiscal year (FY)… […]
  • CMS Proposes 2018 and 2019 Payment Changes for Medicare Home Health Agencies
    CMS Proposes 2018 and 2019 Payment Changes for Medicare Home Health Agencies The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule that would update payment rates and the wage index for home health agencies (HHAs) serving Medicare beneficiaries in 2018 and proposes a redesign of the payment system in 2019. The… […]
  • Is the Contact Information Correct on Your Organization’s Medicare Notices?
    Is the Contact Information Correct on Your Organization’s Medicare Notices? Recently, it has come to the attention of KEPRO that some Medicare notices have incorrect contact information, including the Important Message from Medicare and the Notice of Medicare Non-Coverage. It is important that the correct information be on these notices, so that Medicare beneficiaries are… […]
  • Your Vaccine Recommendation Is a Critical Factor in Protecting Patient Health
    Your Vaccine Recommendation Is a Critical Factor in Protecting Patient Health Patients trust you to give them the best counsel on how to protect their health. You know that immunization is an important preventive measure – but it’s unlikely that getting vaccinated is on the radar for your adult patients. Your strong recommendation is critical… […]
  • New Version of the Important Message from Medicare Form
    New Version of the Important Message from Medicare Form On June 7, 2017, the Centers for Medicare & Medicaid Services (CMS) posted new versions of the Important Message from Medicare (IM) form (CMS-R-193) and the Detailed Notice of Discharge (DND) form (CMS 10066) on the Beneficiary Notices Initiative webpage. The associated instructions for use are also available.… […]
  • Quality Payment Program 2017 MIPS Online Course
    Now Available: Accredited Online Course – Quality Payment Program 2017 Merit-based Incentive Payment System: Improvement Activities Performance Category A new, online and self-paced overview course on the Quality Payment Program is now available through the MLN Learning Management System. Learners will receive information on: The Improvement Activities performance category requirements, and how this category fits into… […]
  • Proposed Rule for Implementation of the Medicare Diabetes Prevention Program
    CMS Announcement of Proposed Rule for Implementation of the Medicare Diabetes Prevention Program (MDPP) Expanded Model On July 13, 2017, the Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2018 Physician Fee Schedule (PFS) proposed rule that would make additional proposals to implement the Medicare Diabetes Prevention Program (MDPP) expanded model… […]
  • 2018 Health Insurance Exchanges Issuer County Map
    2018 Health Insurance Exchanges Issuer County Map The Centers for Medicare and Medicaid Services today posted an update to the Health Insurance Exchanges Issuer County Map. This map is of projected issuer participation on the Health Insurance Exchanges in 2018 based on the known issuer public announcements through July 12, 2017. Participation is expected to… […]
  • Spreading Success: Intervening on Antipsychotics to Improve Dementia Care
    Spreading Success: Intervening on Antipsychotics to Improve Dementia Care Antipsychotic drugs are increasingly overprescribed for dementia patients in nursing homes. According to a report from the U.S. Department of Health and Human Services’ (HHS) Office of the Inspector General, 14 percent of older Americans living in nursing homes take at least one antipsychotic prescription. Moreover, 83 percent of Medicare… […]
  • Improve Diabetes Care and Outcomes while Lowering Costs and Generating Revenue
    Improve Diabetes Care and Outcomes while Lowering Costs and Generating Revenue You can generate revenue by sponsoring your own quality diabetes self-management training (DSMT) program. The CMS Quality Improvement Organization (QIO) Program has contracted reimbursement expert, Mary Ann Hodorowicz, to offer individualized technical assistance to health agencies at no cost. Mary Ann can help your practice successfully operationalize… […]