Headlines

CMS Rule Encourages MA Plans To Increase Telehealth Access

The Centers for Medicare and Medicaid Services (CMS) has finalized rule changes that encourage Medicare Advantage (MA) plans to increase their telehealth benefits. Now, MA plans will be able to cover a wider range of telehealth specialty providers. CMS is also looking to ease policies for rural healthcare to make MA offerings available to rural

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The Biggest Challenges Skilled Nursing Facilities Face Today

Currently, skilled nursing facilities (SNFs) are facing a very challenging environment. This article presents new and existing opportunities for SNFs to succeed. Plante Moran’s report is referenced, which compares around 15,000 Medicare-certified SNFs to identify their operating, revenue and expense metrics. See below for interesting takeaways. View Article Here

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CMS Releases Providers’ Staffing Data To Assess PPE Needs

The Centers for Medicare & Medicaid Services (CMS) announced they will be using providers’ staffing totals to identify their personal protective equipment (PPE) needs during the coronavirus pandemic. CMS also plans to freeze nursing home inspections star ratings during the emergency. For more on this, please see the article below. View Article Here

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2021 CMS Proposed Payment and Policy Changes For SNFs

Recently, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule for skilled nursing facility (SNF) payments for the coming year. If finalized, the rule would see nursing homes receive a 2.3% Medicare pay bump, update the SNF prospective payment system (PPS) wage index and update the way IDC-10 codes map under the

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COVID-19 Payer Updates 4/21/20 – Access Advantage

Payer COVID-19 policies continue to come in, with anticipated additions over the days and weeks ahead. Payers are relaxing their policies and implementing emergency actions to accommodate the influx of healthcare services needed at this time. Please see below for the latest update(s) since our last alert. Ohio Department of Medicaid (ODM) – In response

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CMS Temporarily Postpones Facility Inspections

In light of the COVID-19 emergency, the Centers for Medicare and Medicaid Services (CMS) has temporarily postponed facility inspections. Focus has instead shifted to infection control and Immediate Jeopardy situations.  For more on this as well as a look at the three-pronged approach to identify which providers, hospitals and labs across the country are prepared

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