SNF PPS final rule published, new payment model to begin October 1, 2019

It’s official: According to CMS’ Skilled Nursing Facility (SNF) Prospective Payment System (PPS) final rule published in the Federal Register yesterday evening, the Patient-Driven Payment Model (PDPM)—the new case-mix methodology to replace RUG-IV)—is effective October 1, 2018. Facilities will have a year to transition to PDPM from RUG-IV by the October 1, 2019 implementation date.
PDPM is considered to be a more simplified payment model compared to RUG-IV and is expected to reduce administrative burdens, including …

Interoperability and post-acute implications

Editor’s note: This post has been republished with permission from the author, Reg’s blog.
CMS stance/policy on interoperability among providers and the resultant debate are rather interesting. I encourage clients and readers to tune-in on this subject as the positive and negative implications are sweeping.
Interoperability in this context means the ability of computer systems or software to exchange and/or make use of information for functional purposes. In health care, the genesis of the interoperability concept began …

CMS updates quality measure table to align with revised CoPs

Brought to you by Home Health Line.
CMS has recently posted an updated home health process quality measure table as a result of the revisions made to the timely initiation of care measure. The document was modified to further align with the revised Home Health Conditions of Participation (CoPs), which took effect Jan. 13.
Under the revised CoPs, CMS now allows for a physician-ordered resumption of care (ROC) date beyond 48 hours for patients coming from an …

CMS plans IMPACT Act frequently asked questions call for post-acute providers

Brought to you by Home Health Line.
Learn more about the IMPACT Act and ask your questions of CMS officials during an upcoming Medicare learning call.
CMS will address frequently asked questions on quality measures, standardized data elements, the CMS data element library and future directions of the IMPACT Act, according to the event description.
There will also be a Q&A session after the main presentation.
The call is scheduled for 2 p.m. June 21, 2018.
Related link: Register for …