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CMS today issued a proposed rule that would update Medicare payment policies and rates for inpatient stays to general acute care hospitals paid under the Inpatient Prospective Payment System (IPPS) and long-term care hospitals (LTCHs) paid under the LTCH Prospective Payment System (PPS). This proposed rule is a continuation of our efforts to promote improvements […]
The proposed rule announced April 9, 2012 is the third in aseries of regulations over five years that are designed to streamline health care administrative transactions, encourage greater use of standards by health care providers, and make existing standards work more efficiently. HHS proposes adoption of a standard for a unique health plan identifier (HPID), […]
Many provider groups have expressed serious concerns about their ability to meet the Oct. 1, 2013, compliance date. The proposed change in the compliance date for ICD-10 would give providers and other covered entities more time to prepare and fully test their systems to ensure a smooth and coordinated transition to these new code sets. […]
Nearly $46.5 million for basic grant funding will be distributed to State Health Insurance Assistance Programs to help people with Medicare get more information about their health benefits and choices according to CMS. The fiscal year 2012 grant is a non-competitive continuation of the SHIP grant from the prior annual grant period. These grants are […]
The AQ-IQ Pneumonia Decision Tool is a logic tool for clinical documentation improvement. CDI staff write answers into the tool to assist in seeing the clear clinical picture of this patient. The tool does not lead to an answer, but assists in the decision of whether/what type pneumonia is/isn’t present in this case. Access to […]
Data Show Gains In Reporting Quality Measures And In Program Participation Rates CMS results for the 2010 Physician Quality Reporting System and the 2010 Electronic Prescribing (eRx) Incentive Program show significant gains in participation and incentives paid to eligible health care professionals. The report identifies key areas in which physician-level quality measures point toward future […]
Visit this page for the latest podcasts and related information from the Office of Inspector General. Medicare Hospices Have Financial Incentives To Provide Care in Assisted Living Facilities January 14, 2015 Jenell Clarke-Whyte, a team leader for the Office of Evaluation and Inspections, is interviewed by Nancy Harrison, Deputy Regional Inspector General for Office […]
CMS has announced a call for applications for a new ACA initiative designed to strengthen primary care in the United States. Under the Graduate Nurse Education Demonstration, CMS will provide hospitals working with nursing schools to train advanced practice registered nurses (APRNs) with payments of up to $200 million over four years to cover the […]
CMS announced that 11 States and the District of Columbia will participate in the Medicaid Emergency Psychiatric Demonstration, established under the Affordable Care Act to test whether Medicaid beneficiaries who are experiencing a psychiatric emergency get more immediate, appropriate care when institutions for mental diseases (IMDs) receive Medicaid reimbursement. The Medicaid Emergency Psychiatric Demonstration will […]
