[08/28/11]
Posted on August 28, 2011 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
CMS recently published a Survey & Certification Memorandum (S&C:11-35-NH) detailing progress in the implementation of Section 6121 of the Affordable Care Act (ACA). Section 6121 of the ACA mandates enhanced nurse aide training in nursing homes. The enhanced training focuses on two areas: 1) how to care for residents with dementia, and 2) how... READ MORE
Tags: 6121, abuse, ACA, appendix PP, bufford, care, cms, dementia, f497, interpretive guideline, jent, long term care, Medicaid/Medicare Enrollment and Regulatory Compliance, nf, nurse aide, nursing facility, nursing home, PPACA, prevent, resident, selby, skilled, skilled nursing facility, snf, tag, training
[08/13/11]
Posted on August 13, 2011 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
Earlier this week, we highlighted the implementation by Centers for Medicare & Medicaid Services (CMS) of enrollment revalidations and screening categories, and which categories CMS places certain long-term care providers. It is important for providers and suppliers to understand what each screening category (limited, moderate, or high) entails and be aware of any events... READ MORE
Tags: 10 years, ACA, accountable care, assisted living, billing, bufford, cah, clinic, clinical laboratories, cms, database, dmepos, enrollment, excluded, fbi, final adverse action, fingerprint, group, hha, high, Home Health, home health agency, Hospice, hospital, initial enrollment, jent, license, limited, long term care, MAC, medicaid, Medicaid/Medicare Enrollment and Regulatory Compliance, Medicare, mental health, moderate, moratorium, new practice location, nursing home, oig, on site, on-site visit, payment, physcian, PPACA, practitioner, recertification, reimbursement, Rural Health, screening, selby, skilled nursing facility, snf, suspension, therapy, visit
[07/29/11]
Posted on July 29, 2011 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
Effective fiscal year (FY) 2012, The Centers for Medicare & Medicaid Services (CMS) final rule on Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2012, released July 29, reduces Medicare skilled nursing facility (SNF) Prospective Payment System (PPS) payments by 11.1%. CMS states this action was taken to “better align... READ MORE
Tags: ACA, Affordable Care Act, bufford, case mix index, change of therapy, classification, cmi, cms, consolidated billing, COT, final rule, fy 2011, fy 2012, jent, long term care, market basket, Medicaid/Medicare Enrollment and Regulatory Compliance, Medicare, omra, other medicare required assessment, payment, PPACA, pps, recalibration, reduction, rug, rug-iv, selby, skilled nursing facility, snf, spike, therapy