ReimbursementCase-mix Delays, Transportation Discussed at Monthly DOH Meeting
DOH unveils proposal to speed up CMI adjustments to nursing home rates.
- May 17, 2016
ReimbursementA Deeper Dive on the OMIG Work Plan
A detailed summary of the Office of Medicaid Inspector General's 2016-17 work plan, prepared by attorneys at Hinman Straub, describes high-risk areas for long-term care providers and plans and new initiatives in value-based payment, Consumer Directed Personal Assistance, Hospice, and Nursing Home Transition and Diversion Waiver services.
- May 10, 2016
ReimbursementOMIG Reveals Areas of Focus in the Coming Year
OMIG releases its 2016-17 work plan intended to fight fraud, improve program integrity and quality, and save taxpayer dollars.
- April 26, 2016
ReimbursementPEPPER Reports for Q4FY15 are Available
The Q4FY15 release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through Sept. 2015 is now available.
- April 19, 2016
ReimbursementUniversal Settlement Release Re-execution Call
Presentation with questions and answers by the Universal Settlement Trustee law firm on the requirement for some homes to re-execute their release document if alterations were made to the previously submitted release.
- January 29, 2016
ReimbursementWebinar: New CPT Codes for Advance Care Planning and MOLST Discussions
Dr. Patricia Bomba, MD, FACP, will present a free webinar for physicians and other clinicians on the required elements of advance care planning conversations and how to bill for them on Feb. 2, 2016 from 8:00-9:00 a.m.
- January 18, 2016
ReimbursementCMS Publishes Final Regulations for Joint Replacement Bundled Payment Model
The final rule, which mandates bundled payment arrangements in 14 counties in NYS, offers opportunities for shared savings, as well as shared recoupments, among hospitals and post-acute care providers and provides for waivers of the SNF 3-day rule and certain telehealth requirements.
- November 30, 2015
ReimbursementCMS Finalizes Regulations Governing Bundled Payments for Joint Replacements
Effective Apr. 1, 2016, hospitals in 14 counties in New York State will be held accountable for acute and post-acute care costs and quality within 90-day episodes of care related to lower extremity joint replacements.
- November 17, 2015
ReimbursementExploration of Updated Payment Models for Therapy under PPS Continues
CMS contractor, Acumen, releases summary report of activities to examine possible updated payment models for therapy under the Medicare Prospective Payment System (PPS).
- November 13, 2015
ReimbursementCMS Proposes Mandatory Hip and Knee Replacement Bundles in 14 New York Counties
As of January 2016, hospitals in the specified counties would be responsible for the total cost and quality of hip and knee surgeries, including inpatient, and post-acute care for 90 days after discharge.
- July 14, 2015
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