The National Association for the Support of Long Term Care (NASL) is the leading national organization with exclusive involvement in legislative and regulatory matters affecting all ancillary services to the long term and post acute care setting, including therapy, medical products and supplies, diagnostic testing and information systems.  Learn more about NASL.



Urge your Representative to Co-Sponsor H.R. 1717, the Medicare DMEPOS Market Pricing Program Act of 2013.  Email your Member of Congress now!





Reservations now being accepted at the Gaylord National Harbor Hotel for the NASL 25th Annual Meeting.  Contact the AHCA Housing Bureau at 1-866-227-1876 to reserve your room today.  Please identify yourself as an attendee of the NASL Annual Meeting to receive the conference rate of $269 per night.

NASL registration opens April 25.



The Senate approved the House-passed 12-month SGR Patch bill by a 64-35 vote.  The proposal, H.R. 4302, Protecting Access to Medicare Act of 2014, prevents a 24% cut in reimbursements for physicians and Part B providers who treat Medicare patients that would have gone into effect on April 1, 2014 and replaces it with a 0.5% update through December 31, 2014 and a 0% update from January 1, 2015 until April 1, 2015. The legislation also extends the therapy cap exceptions and manual medical review process until March 31, 2015; extends the CMS “probe and education” program for auditing hospitals discharges around CMS’ two-midnight policy for 6 months; makes technical corrections to the LTCH site neutral payment policy; delays the transition to ICD-10 until October 1, 2015;establishes a SNF Value-based Purchasing Program that includes an all-cause all-condition readmission measure for nursing facilities; and, increases a fee paid to labs that service patients in skilled nursing facilities. A summary of the provisions of interest to NASL members can be accessed here:  (NASL member login required.)



NASL participated on a monthly call with CMS Recovery Operations staff involved with Medical Manual Review of therapy claims.  They stated that, when CMS awards the new recovery audit contacts, MMR reviews will be done on a post payment basis.  These particular CMS staff did not know when the new RA contracts will be awarded.  When they are awarded and the new RAs begin, the RAs can go back to the March (2014) timeframe and conduct MMR reviews on a post payment basis (in other words, review the claims that were paid during the RA pause).  Going forward, under the new RA contracts, MMR reviews will be conducted on a post payment basis.  As to posting this information, CMS was not specific.  Also, they defined the 10-day timeframe as beginning when the RA has matched the claim with the documentation submitted by the provider.  When pressed for where this is posted on the CMS website, CMS said they would try to post something. 


NASL honored Representative Erik Paulsen (R-MN) with our 2014 Congressional Leadership Award during the 2014 NASL Winter Legislative & Regulatory Conference on February 11, 2014 in Washington, DC.

Visit our Winter Conference Photo Gallery.