Proposed payment rule suggests higher-than-expected increase for SNFs

A proposed rule filed by CMS on April 19, 2019 and scheduled to be published in the Federal Register on April 25 suggests that SNFs be paid at an increase of $887 million, or 2.5%, for FY2020 compared to FY2019. The increased payment amount is a result of a 3.0% market basket increase with a 0.5%-point reduction.
Additionally, the rule includes the following proposals:

Minor revisions to the regulation text to reflect the revised assessment schedule under …

CMS to make abuse and inappropriate antipsychotic use easily identifiable on NHC

In a blog post dated April 15, 2019, CMS announced plans for strengthened oversight of state surveyor agencies’ (SSA) performance during nursing home surveys to reduce variation across SSA guidance. This includes “updating Nursing Home Compare to make it easier for consumers to identify specific instances of non-compliance related to abuse or inappropriate antipsychotic medication use,” states the agency.
Mark Parkinson, President and CEO at the American Health Care Association (AHCA) issued a statement in response …

Changes to staffing rating thresholds in 5-star rating system update

CMS announced April 2019 updates to the Nursing Home Compare website and Five-Star Quality Rating System, including a change to staffing rating thresholds, with the staffing level required to receive a 5-star rating determined based on analyses of the relationship between staffing levels and measures of nursing home quality.
The Technical User’s Guide states that, “In recognition of the importance of RN staffing, the method by which the RN staffing rating and the total nurse staffing …

[FREE LIVE WEBINAR] Shifting Gears Under PDPM: Changes and Considerations for Therapy

Join us for this 60-minute LIVE webinar on Wednesday, May 8, 2:00-3:00 PM EST, with regulatory expert Stefanie Corbett, DHA, and gain insight into the strategies and evaluation practices to implement in order to proactively prepare for a successful transition. Learn how to implement operational changes to achieve Medicare compliance, effectively manage therapy utilization and maximize reimbursement, with effective goal setting and mastering efficiency. With PDPM right around the corner, you do not want to …