Yale studies approach to patient-centered care that involved a critical conversation with patients

Researchers at Yale, New York University School of Medicine, and Baylor College of Medicine recently studied an approach to patient-centered care that involves tailoring healthcare of seniors to senior’s desires.
The approach, which was studied and published in the Journal of American Geriatric Society, included a structured, 30-minute conversation with patients in primary care practices. The information focused on patient’s values, helath goals, what they consider helpful versus burdensome care, and one problem they consider most …

CMS publishes corrections to RUG-IV federal per diem rates & MDS item in SNF PPS final rule

By The Bottom Line.
The Centers for Medicare & Medicaid Services published the following summary of errors published in the FY2019 SNF PPS final rule:

In Tables 6 and 7 on pages 39170 through 39172, we made errors in copying values into the “total rate” column of the tables used in the final rule preamble, so the numbers in this column did not accurately reflect the total case-mix adjusted federal per diem rates.
On page 39222, we made …

Update to Medicare Claims Processing Manual, Chapter 23, Section 60.3

For newly covered DMEPOS items paid on a fee schedule basis where a Medicare fee does not exist, the Centers for Medicare & Medicaid Services (CMS) uses a process to establish fees called gap filling. This allows Medicare to establish a price that aligns with the statutory requirements for the DMEPOS fee schedule.
On September 14, CMS released an MLN Matters article announcing updates to Chapter 23, Section 60.3 of the Medicare Claims Processing Manual regarding …

Post-acute care might see relaxation of emergency prep requirements

Home health agencies and other facilities only would need to review their emergency preparedness programs every two years if a proposal from CMS is finalized.
CMS’ proposed rule, “Medicare and Medicaid Programs; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction,” was included in the Sept. 20 Federal Register. The federal Medicare agency is seeking to reduce burdens for health care providers and patients.
The proposal includes several changes that would affect CMS’ emergency preparedness requirement, …