CMS Issues Proposed Payment Rules for FY 2016 – Read NASL's summary of how CMS’ proposals may impact SNFs, IRFs, LTCHs and acute care hospitals as early as October 1, 2015.
President Barack Obama signed the Medicare Access and CHIP Reauthorization Act into law in a ceremony attended by both House Speaker John Boehner and Minority Leader Nancy Pelosi. "[I]t's going to be good for people who use Medicare. It's going to be good for our seniors. Ultimately it's going to be good for all of us," the President said.
CMS released the 2016 SNF PPS Proposed Rule CMS-1622-P, Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs) for FY 2016, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and Staffing Data Collection. A public inspection copy is available for download now; a CMS Fact Sheet is also available. The proposed rule is expected to be published in the Federal Register on April 20, 2015.
Late this evening, the Senate passed H.R. 2 (the Medicare Access and CHIP Reauthorization Act) by a vote of 92-8, repealing SGR. President Obama is expect to sign the bill on Thursday. Thank you to our NASL advocates for your efforts to encourage your Senators to pass this important legislation.
Today, the House of Representatives overwhelmingly passed the Medicare Access and CHIP Reauthorization Act (H.R. 2), by a vote of 392-32. NASL members should take action now to encourage their Senator to support and vote for the permanent SGR repeal package before the Senate leaves for a two week recess and the current SGR patch expires on March 31st The package permanently eliminates Medicare’s SGR formula for physicians and Part B outpatient providers.
MedPAC releases the March 2015 Report to the Congress: Medicare Payment Policy. The entire report is available online at: http://medpac.gov/documents/reports/Mar15_EntireReport.pdf. In this year’s report, MedPAC continues to make recommendations “to find ways to provide high-quality care for Medicare beneficiaries at lower costs to the program.” The 2015 report includes recommendations for ten of the health care provider sectors in fee-for-service (FFS) Medicare.
NY Gov. Cuomo signs bill delaying NY's I-STOP eRX Requirement. New York media reports that Governor Andrew Cuomo signed a bill, which had passed the New York State Senate and Assembly earlier this month, that delays implementation of the e-prescribing mandate under the state’s I-STOP Rule. The e-prescribing requirement will take effect next year on March 27, 2016. Read the Albany Times Union article for more information.
CMS releases new procedures for Manual Medical Review of 2014 therapy claims.
Late last week Latesha Walker, Provider Relations Coordinator, Centers for Medicare and Medicaid Services (CMS), released two documents that provide an update on how it has instructed the Recovery Auditors (RA) to resume the manual medical review (MMR) of Part B therapy above $3,700 for claims on a post-payment basis, from February 2014 to December of 2014. A summary of the procedures and a Q&A document, released to NASL and other provider groups is available here. CMS does not plan to post any additional information regarding these reviews.
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