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Netsmart lands statewide contract after successful pilot
Overland Park-based Netsmart will deploy its solutions to more than 300 clinics throughout Missouri after a successful pilot of its Healthcare Homes program. Missouri was one of the first states to test-drive the program through the Centers for Medicare and Medicaid Services (CMS), which combines physical and behavioral health data under one system. “It was designed to change the way behavioral health providers operate in the state of Missouri, to f ocus on whole-person health,” said Brent McGinty,… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - September 20, 2017 Category: Pharmaceuticals Authors: Elise Reuter Source Type: news

Netsmart lands statewide contract after successful pilot
Overland Park-based Netsmart will deploy its solutions to more than 300 clinics throughout Missouri after a successful pilot of its Healthcare Homes program. Missouri was one of the first states to test-drive the program through the Centers for Medicare and Medicaid Services (CMS), which combines physical and behavioral health data under one system. “It was designed to change the way behavioral health providers operate in the state of Missouri, to f ocus on whole-person health,” said Brent McGinty,… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - September 20, 2017 Category: Biotechnology Authors: Elise Reuter Source Type: news

Medicare Clinical Laboratory Price Cuts and Cost-cutting Predicted to be 2018 ’s Two Biggest Trends for Medical Laboratories in the United States
To offset the loss of revenue from the price cuts to Medicare Part B clinical laboratory tests, labs will need to aggressively—but wisely—slash costs to balance their budgets Any day now, Medicare officials will announce the Medicare Part B Clinical Laboratory Fee Schedule (CLFS) for 2018. Both the Centers for Medicare and Medicaid Services (CMS) […] (Source: Dark Daily)
Source: Dark Daily - September 20, 2017 Category: Laboratory Medicine Authors: Jude Tags: Coding, Billing, and Collections dark daily home page darkdaily.com Laboratory Management and Operations Laboratory News Laboratory Operations Laboratory Pathology Managed Care Contracts & Payer Reimbursement Management & Operations News Source Type: news

MAP Rural Health Workgroup 2017-2018 Call for Nominations
The National Quality Forum (NQF) is establishing a rural health workgroup under the Measure Applications Partnership (MAP) to advise the Centers for Medicare and Medicaid Services (CMS) on the selection of rural-relevant measures for use in certain federal value-based purchasing and quality reporting programs. TheMAP Rural Health Workgroup will consist of no more than 25 members with expertise in the areas of rural health, program implementation, and quality measurement. The NQF is acceptingnominations through September 29, 2017 at 6:00 pm Eastern time. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - September 19, 2017 Category: Rural Health Source Type: news

Claret Medical touts Sentinel data in TAVR study
Claret Medical today released results from a study of its Sentinel cerebral protection system, touting reduced early occurrence of stroke associated with transcatheter aortic valve replacement procedures and lowered mortality rates. The study of the device was recently published in the Journal of the American College of Cardiology: Cardiovascular Interventions, the Santa Rosa, Calif.-based company said. The Sentinel embolic protection device is designed to trap blood clots and prevent stroke during heart valve replacement procedures, which Claret Medical touts as the 1st and only FDA-cleared device to do so. “In...
Source: Mass Device - September 18, 2017 Category: Medical Devices Authors: Fink Densford Tags: Cardiovascular Catheters Clinical Trials Neurological Claret Medical Inc. Source Type: news

Emergency Response and Recovery: Hurricanes
Centers for Medicare and Medicaid Services. 09/15/2017 This Web page provides information about the Centers for Medicare and Medicaid (CMS)'response to Hurricanes Irma and Harvey. It details the federal states of emergency, administrative actions for Medicare, waivers for affected states, and fraud and phishing. It provides links to relevant documents for facilities, and from CMS and affected states. (Text) (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - September 16, 2017 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news

Emergency Response and Recovery: Pandemic, Infectious Diseases, and Biological Hazards
Centers for Medicare and Medicaid Services. 08/28/2017 This Web page provides information and links about emergency response to pandemics and infectious diseases, specifically the 2016 Zika virus outbreak, and the 2009 H1N1 outbreak. It provides information about new Centers for Medicare and Medicaid funding to health departments in American Samoa, Puerto Rico, the U.S. Virgin Islands, and Florida to help combat the Zika virus. (Text) (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - September 16, 2017 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news

Emergency Response and Recovery: Cyber Emergencies
Centers for Medicare and Medicaid Services. 08/28/2017 This Web page provides information and links about the extensive cyber-attack that was conducted worldwide beginning on May 12, 2017, in at least 150 countries. It provides guidance on what to do if an organization is the victim of a ransomware attack. (Text) (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - September 16, 2017 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news

Emergency Response and Recovery: Severe Storms and Flooding
Centers for Medicare and Medicaid Services. 12/05/2016 This Web page provides information and links about severe storms and flooding events in several states, dating back to the 2008 Iowa and Indiana Severe Flooding. (Text) (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - September 16, 2017 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news

Emergency!: Preparedness, Planning, Generators: The New Rules Affecting Health Care
National Fire Protection Association. 06/04/2017 This one-hour, 26-minute video explores the genesis of the Centers for Medicare and Medicaid Services (CMS) rule dealing with emergency preparedness and planning, and the implementation challenges and resources to assist provider organizations in carrying out requirements. While acute care hospitals and long-term care facilities have always provided some level of preparedness and planning, the new rule clarifies expectations and performance levels. (Video or Multimedia) (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - September 15, 2017 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Notice from the Centers for Medicare and Medicaid Services (CMS) announcing their intent to continue collecting information related to the Medicare Geographic Classification Review Board (MGCRB) procedures and criteria. Information collected is used by CMS and the MGCRB to determine eligibility for prospective payment system (PPS) hospitals wishing to be considered part of neighboring geographic areas for payment purposes. Comments regarding the proposed information collection activities must be submitted by October 16, 2017. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - September 15, 2017 Category: Rural Health Source Type: news

Public Inspection: CMS: Agency Information Collection Activities; Proposals, Submissions, and Approvals
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) announcing their intent to continue collecting information related to the Medicare Geographic Classification Review Board (MGCRB) procedures and criteria. Information collected is used by CMS and the MGCRB to determine eligibility for prospective payment system (PPS) hospitals wishing to be considered part of neighboring geographic areas for payment purposes. Comments regarding the proposed information collection activities must be submitted within 30 days of final publication in the Federal Register, which is scheduled for September 15, 2017....
Source: Federal Register updates via the Rural Assistance Center - September 14, 2017 Category: Rural Health Source Type: news

Mercy hospital in Springfield receives warning from CMS
Mercy Hospital Springfield, which is part of the St. Louis-based Mercy system, faces possible termination of its Medicare agreement if changes aren't made by a Sept. 22 deadline. The deadline from the Centers for Medicare and Medicaid Services comes following a complaint investigation of the hospital conducted by a state agency on Aug. 25, the Springfield News-Leader reports. The investigation resulted in a determination of "immediate jeopardy to the health and safety of p atients" at the hospital,… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - September 11, 2017 Category: American Health Authors: Angela Mueller Source Type: news

Emergency Preparedness Training Online Course
Centers for Medicare and Medicaid Services. 09/01/2017 This three-page document provides background and registration information about a course to help health and safety and Life Safety Code (LSC) surveyors and reviewers gain proficiency in surveying all affected participating providers and certified suppliers for compliance with their individual emergency preparedness requirements. It provides step-by-step course access instructions. Surveying for requirements begins November 15, 2017. (PDF) Site requires free registration. (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - September 6, 2017 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news

Emergency Preparedness Basic Surveyor Training Course: Course Menu
Centers for Medicare and Medicaid Services. 09/01/2017 This two-module course will help health and safety and Life Safety Code (LSC) surveyors and reviewers gain proficiency in surveying all affected participating providers and certified suppliers for compliance with their individual emergency preparedness requirements. The training provides consistent guidance and survey procedures for all provider and supplier types. Surveying for requirements begins November 15, 2017. (Video or Multimedia) (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - September 6, 2017 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news

Advertising Budget for Obamacare to Be Cut 90 Percent Advertising Budget for Obamacare to Be Cut 90 Percent
The U.S. Centers for Medicare and Medicaid Services said on Thursday it plans to spend $10 million on advertising for the upcoming Obamacare open enrollment period that starts in November, a sharp cut from the $100 million spent last year.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - September 5, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

The New Old Age: Under ‘ Observation, ’ Some Hospital Patients Face Big Bills
A judge has cleared the way for a lawsuit against Medicare by patients who faced big bills after they were kept “ under observation. ” (Source: NYT Health)
Source: NYT Health - September 1, 2017 Category: Consumer Health News Authors: PAULA SPAN Tags: Elderly Medicare Nursing Homes Hospitals Elder Care Suits and Litigation (Civil) Therapy and Rehabilitation Centers for Medicare and Medicaid Services Source Type: news

Advertising budget for Obamacare to be cut 90 percent: U.S. health agency
WASHINGTON (Reuters) - The U.S. Centers for Medicare and Medicaid Services said on Thursday it plans to spend $10 million on advertising for the upcoming Obamacare open enrollment period that starts in November, a sharp cut from the $100 million spent last year. (Source: Reuters: Health)
Source: Reuters: Health - August 31, 2017 Category: Consumer Health News Tags: healthNews Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Notice of intent from the Centers for Medicare and Medicaid Services (CMS) to continue collecting information as part of the Critical Access Hospitals (CAHs) conditions of participation. Information collected is used by surveyors to ensure CAHs are eligible to participate in the Medicare program. Comments regarding the proposed information collection must be submitted by September 29, 2017. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - August 30, 2017 Category: Rural Health Source Type: news

Public Inspection: CMS: Agency Information Collection Activities; Proposals, Submissions, and Approvals
Pre-publication notice of intent from the Centers for Medicare and Medicaid Services (CMS) to continue collecting information as part of the Critical Access Hospitals (CAHs) conditions of participation. Information collected is used by surveyors to ensure CAHs are eligible to participate in the Medicare program. Comments regarding the proposed information collection must be submitted within 30 days of final publication in the Federal Register, which is scheduled for August 30, 2017. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - August 29, 2017 Category: Rural Health Source Type: news

Mylan inks $465m settlement with DOJ over EpiPen Medicaid classification
Mylan (NSDQ:MYL) said today that it inked a $465 million deal with U.S. Dept. of Justice to settle claims that it misclassified its EpiPen allergy auto-injector device with the Medicaid Drug Rebate Program. In October last year, The Centers for Medicare & Medicaid Services said that Mylan had been overcharging Medicaid for its EpiPen device for years, despite being warned that it should have paid bigger rebates. Get the full story at our sister site, Drug Delivery Business News. The post Mylan inks $465m settlement with DOJ over EpiPen Medicaid classification appeared first on MassDevice. (Source: Mass Device)
Source: Mass Device - August 17, 2017 Category: Medical Devices Authors: Sarah Faulkner Tags: Drug-Device Combinations Legal News Pharmaceuticals Wall Street Beat Centers for Medicare and Medicaid Services (CMS) Mylan Source Type: news

CMS proposes rolling back bundled payment programs
The Centers for Medicare & Medicaid Services this week proposed rolling back a trio of bundled payment pilot programs aimed at lowering healthcare costs and improving outcomes. The federal health insurer announced its 5-year “Comprehensive Care for Joint Replacement” program in July 2015, saying it would involve more than 800 hospitals in 75 geographic areas. The CJR program, which went into effect in January 2016, bundles payments for hip and knee replacements from hospital admission to 90 days after discharge. The payment covers “all related items and services paid under Medicare Part A an...
Source: Mass Device - August 17, 2017 Category: Medical Devices Authors: Brad Perriello Tags: Healthcare Reform Centers for Medicare and Medicaid Services (CMS) Reimbursement valuebasedhealthcare Source Type: news

CMS: Medicare Program; Cancellation of Advancing Care Coordination Through Episode Payment and Cardiac Rehabilitation Incentive Payment Models; Changes to Comprehensive Care for Joint Replacement Payment Model (CMS-5524-P)
Proposed rule from the Centers for Medicare and Medicaid Services (CMS) that would cancel the Episode Payment Models (EPMs) and Cardiac Rehabilitation (CR) incentive payment model. Proposed rule would also make changes to the Comprehensive Care for Joint Replacement (CJR) model and give certain hospitals, including low-volume and rural hospitals, a one-time option to discontinue participation. Additional information is available on theAugust 15, 2017, CMS fact sheet. Comments regarding the proposed rule must be submitted no later than 5:00 p.m. Eastern on October 16, 2017. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - August 17, 2017 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Cancellation of Advancing Care Coordination through Episode Payment and Cardiac Rehabilitation Incentive Payment Models; Changes to Comprehensive Care for Joint Replacement Payment Model (CMS-5524-P)
Pre-publication proposed rule from the Centers for Medicare and Medicaid Services (CMS) that would cancel the Episode Payment Models (EPMs) and Cardiac Rehabilitation (CR) incentive payment model. Proposed rule would also make changes to the Comprehensive Care for Joint Replacement (CJR) model and give certain hospitals, including low-volume and rural hospitals, a one-time option to discontinue participation. Additional information is available on theAugust 15, 2017, CMS fact sheet. Comments regarding the proposed rule must be submitted within 60 days of final publication in the Federal Register, which is scheduled for Aug...
Source: Federal Register updates via the Rural Assistance Center - August 16, 2017 Category: Rural Health Source Type: news

CMS Releases Hospice Compare Website to Improve Consumer Experiences, Empower Patients
The Centers for Medicare and Medicaid Services (CMS) has unveiled a website that allows consumers to compare hospice facilities by providing a brief overview of the quality of care provided to patients in each facility. TheHospice Compare website was created in an effort to provide greater transparency for consumers to make informed healthcare decisions. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - August 16, 2017 Category: Rural Health Source Type: news

CMS Proposes Changes to the Comprehensive Care for Joint Replacement Model, Cancellation of the Mandatory Episode Payment Models And Cardiac Rehabilitation Incentive Payment Model
The Centers for Medicare and Medicaid Services (CMS) announced a proposed rule to reduce the number of mandatory geographic areas participating in the CMS Innovation's Comprehensive Care for Joint Replacement (CJR) model from 67 to 34. Within those 34 mandatory areas, this rule also proposes to make participation voluntary for low volume and rural hospitals. This proposed rule would also cancel the Episode Payment Models (EPMs) and the Cardiac Rehabilitation (CR) incentive payment model. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - August 15, 2017 Category: Rural Health Source Type: news

CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2018 Rates; Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Electronic Health Record (EHR) Incentive Program Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Provider-Based Status of Indian Health Service and Tribal Facilities and Organizations; Costs Reporting and Provider Requirements; Agreement Termination Notices
Final rule from the Centers for Medicare and Medicaid Services (CMS) that updates Medicare payments and policies, relieves regulatory burdens for providers, supports the patient-doctor relationship, and promotes transparency, flexibility, and innovation. Final rule includes changes to Medicare termination notices for Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs) and other providers, and finalizes details of the Rural Community Hospital Demonstration extension, among other things. Additional information is available on the August 2, 2017, CMS fact sheet. (Source: Federal Register updates via the Ru...
Source: Federal Register updates via the Rural Assistance Center - August 14, 2017 Category: Rural Health Source Type: news

University of Michigan Study Links Value-Based Care Programs to Lower Readmission Rates and $32 Million in Medicare Savings in 2015; Clinical Laboratories Play Critical Role
Meaningful use, accountable care organizations, and bundled payment initiatives work best together to reduce readmissions, UM research suggests Ever since the Centers for Medicare and Medicaid Services (CMS) implemented the Hospital Readmission Reduction Program (HRRP) in 2012, healthcare organizations all over America have sought to prevent unnecessary hospital readmissions within 30 days of discharge. For […] (Source: Dark Daily)
Source: Dark Daily - August 11, 2017 Category: Laboratory Medicine Authors: Jude Tags: Laboratory Operations Laboratory Pathology Laboratory Testing Management & Operations A. Everett James ACA Accountable Care Organizations ACO Affordable Care Act Andrew Ryan PhD BPCI bundled payments centers for medicare and medica Source Type: news

CMS: Health Insurance Marketplace SM
The Centers for Medicare and Medicaid Services' (CMS) Advisory Panel on Outreach and Education (APOE) will hold an open meeting from 8:30 a.m. to 4:00 p.m. Eastern on September 13, 2017, at the Hubert H. Humphrey Building in Washington, D.C. The agenda includes a welcome and listening session with CMS leadership, a recap of the previous meeting, a review of CMS programs and initiatives, an opportunity for public comment, and a review of recommendations and next steps. Pre-registration is required by 5:00 p.m. Eastern on August 30, 2017, and public attendance is limited to the space available. (Source: Federal Register upda...
Source: Federal Register updates via the Rural Assistance Center - August 11, 2017 Category: Rural Health Source Type: news

Public Inspection: CMS: Meetings: Advisory Panel on Outreach and Education
The Centers for Medicare and Medicaid Services' (CMS) Advisory Panel on Outreach and Education (APOE) will hold an open meeting from 8:30 a.m. to 4:00 p.m. Eastern on September 13, 2017, at the Hubert H. Humphrey Building in Washington, D.C. The agenda includes a welcome and listening session with CMS leadership, a recap of the previous meeting, a review of CMS programs and initiatives, an opportunity for public comment, and a review of recommendations and next steps. Pre-registration is required by 5:00 p.m. Eastern on August 30, 2017, and public attendance is limited to the space available. Final publication in the Feder...
Source: Federal Register updates via the Rural Assistance Center - August 10, 2017 Category: Rural Health Source Type: news

CMS: Medicare Program; FY 2018 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update
Notice with comment period from the Centers for Medicare and Medicaid Services (CMS) updating prospective payment rates for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPFs), including freestanding IPFs and psychiatric units of acute care hospitals and Critical Access Hospitals (CAHs). Updated rates are effective for discharges occurring October 1, 2017, through September 30, 2018. Comments regarding the updates must be submitted no later than 5:00 p.m. Eastern on October 6, 2017. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - August 7, 2017 Category: Rural Health Source Type: news

LivaNova wins CMS NTAP reimbursement for Perceval aortic valve
LivaNova (NSDQ:LIVN) said today that its Perceval sutureless aortic heart valve replacement won approval from the Centers for Medicare and Medicaid Services for a New Technology Add-On Payment. The London-based company said that the Perceval valve had met the CMS criteria for the add-on payment, including showing substantial clinical improvement over existing technologies. With the reimbursement approval, CMS will begin to reimburse hospitals for the Perceval valve procedure with the normal Medicare Severeity Diagnosis Related Group payment as well as an additional $6,110.23, LivaNova said. “We are pleased ...
Source: Mass Device - August 4, 2017 Category: Medical Devices Authors: Fink Densford Tags: Business/Financial News Cardiac Implants Cardiovascular Replacement Heart Valves Centers for Medicare and Medicaid Services (CMS) LivaNova Source Type: news

UPDATE: CMS passes NTAP reimbursement for LivaNova ’ s Perceval, Edwards Intuity aortic valves
Updated to include that the CMS NTAP also covered Edwards Lifescience’s Intuity suturless aortic valve The Centers for Medicare and Medicaid Services today released its Final Rule for FY2018 Medicare Inpatient Payment and Policy, granting New Technology Add-On Payment reimbursement for rapid deployment valves, including LivaNova‘s (NSDQ:LIVN) Perceval and Edwards Lifesciences‘s (NYSE:EW) Intuity aortic valves. London-based LivaNova said that the Perceval sutureless valve had met the CMS criteria for the add-on payment, including showing substantial clinical improvement over existing technol...
Source: Mass Device - August 4, 2017 Category: Medical Devices Authors: Fink Densford Tags: Business/Financial News Cardiac Implants Cardiovascular Replacement Heart Valves Centers for Medicare and Medicaid Services (CMS) Edwards Lifesciences LivaNova Source Type: news

CMS: Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-April through June 2017
Quarterly listing of Centers for Medicare and Medicaid Services (CMS) manual instructions, substantive and interpretive regulations, and Federal Register notices published from April through June, 2017. Also includes contact information for general questions or additional information about a specific section. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - August 4, 2017 Category: Rural Health Source Type: news

CMS: Medicare Program; FY 2018 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements
Final rule from the Centers for Medicare and Medicaid Services (CMS) updating the hospice wage index, payment rates, and cap amount for fiscal year (FY) 2018. The rule also adds new quality measures and makes changes to the Hospice Quality Reporting Program (HQRP). Additional information is available on theAugust 1, 2017, CMS fact sheet. Provisions of the rule take effect October 1, 2017. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - August 4, 2017 Category: Rural Health Source Type: news

CMS: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, and Correction of the Performance Period for the NHSN HCP Influenza Vaccination Immunization Reporting Measure in the ESRD QIP for PY 2020
Final rule from the Centers for Medicare and Medicaid Services (CMS) updating fiscal year (FY) 2018 prospective payment rates for skilled nursing facilities (SNFs), resulting in a roughly one percent increase over FY 2017. The rule also finalizes revisions to the SNF Quality Reporting Program (QRP) and Value-Based Purchasing Program, among other things. Additional information is available on theJuly 31, 2017, CMS final rule fact sheet. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - August 4, 2017 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare and Medicaid Programs: Quarterly Listing of Program Issuances - April through June 2017
Quarterly listing of Centers for Medicare and Medicaid Services (CMS) manual instructions, substantive and interpretive regulations, and Federal Register notices published from April through June, 2017. Also includes contact information for general questions or additional information about a specific section. Final publication in the Federal Register is scheduled for August 4, 2017. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - August 3, 2017 Category: Rural Health Source Type: news

CMS: Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2018
Final rule from the Centers for Medicare and Medicaid Services (CMS) that updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) in fiscal year 2018, removes the 25 percent payment penalty for IRF Patient Assessment Instrument (PAI) late transmissions, refines the 60 percent rule presumptive methodology, finalizes technical IRF process revisions, and makes changes to the IRF Quality Reporting Program (QRP). IRF payment updates include the discontinuation of the rural adjustment. Additional information is available on theJuly 31, 2017, CMS fact sheet. (Source: Federal Register updates via the R...
Source: Federal Register updates via the Rural Assistance Center - August 3, 2017 Category: Rural Health Source Type: news

Dexcom's Medicare rollout has begun, but impact on earnings will be gradual
It was good news for Dexcom in January when the Centers for Medicare and Medicaid Services announced they would reimburse for Dexcom ’s — and initially only Dexcom’s — continuous glucose monitor. Now the rollouts to Medicare patients are starting, although the company isn’t exactly rolling in that government money. In fact, CEO Kevin Sayer said on a recent earnings call that they’ve yet to see a check from CMS. (Source: mobihealthnews)
Source: mobihealthnews - August 2, 2017 Category: Information Technology Source Type: news

Public Inspection: CMS: Medicare Program: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2018 Rates; Quality Reporting Requirements for Specific Providers; Medicare and Medicaid
Pre-publication final rule from the Centers for Medicare and Medicaid Services (CMS) that updates Medicare payments and policies, relieves regulatory burdens for providers, supports the patient-doctor relationship, and promotes transparency, flexibility, and innovation. Final rule includes changes to Medicare termination notices for Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs) and other providers, and finalizes details of the Rural Community Hospital Demonstration extension, among other things. Additional information is available on the August 2, 2017, CMS fact sheet, and final publication in the...
Source: Federal Register updates via the Rural Assistance Center - August 2, 2017 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: FY 2018 Inpatient Psychiatric Facilities Prospective Payment System – Rate Update
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) updating prospective payment rates for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPFs), including freestanding IPFs and psychiatric units of acute care hospitals and Critical Access Hospitals (CAHs). Updated rates are effective for discharges occurring October 1, 2017, through September 30, 2018. Final publication in the Federal Register is scheduled for August 7, 2017. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - August 2, 2017 Category: Rural Health Source Type: news

Medicare List of Appropriate Antibiotics for Sepsis Needs Revision Medicare List of Appropriate Antibiotics for Sepsis Needs Revision
Several antibiotics listed in the tables for the Center for Medicare and Medicaid Services (CMS) performance measure for the Early Management Bundle, Severe Sepsis/Septic Shock (SEP-1) are not appropriate and their use is inconsistent with prudent antimicrobial stewardship, according to an expert work group.Reuters Health Information (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 1, 2017 Category: Intensive Care Tags: Infectious Diseases News Source Type: news

CMS sheds light on plans for clinical decision support
In recently proposed rules, the U.S. Centers for Medicare and Medicaid Services...Read more on AuntMinnie.comRelated Reading: ACR finds favorable signs in 2018 MPFS proposed rule CMS releases 2018 MPFS with 1% radiology pay cut Radiology billing must adapt to patient consumerism Is your practice ready for new decision-support rules? ACR wants CMS to stick with decision-support schedule (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - August 1, 2017 Category: Radiology Source Type: news

Public Inspection: CMS: Medicare Program: FY 2018 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements
Pre-publication final rule from the Centers for Medicare and Medicaid Services (CMS) updating the hospice wage index, payment rates, and cap amount for fiscal year (FY) 2018. The rule also adds new quality measures and makes changes to the Hospice Quality Reporting Program (HQRP). Additional information is available on theAugust 1, 2017, CMS fact sheet. Provisions of the rule take effect October 1, 2017, and final publication in the Federal Register is scheduled for August 4, 2017. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - August 1, 2017 Category: Rural Health Source Type: news

Improving Cancer Control in Rural Communities
Discusses two new studies - one by the National Cancer Institute (NCI) and one by the Centers for Disease Control and Prevention (CDC) - that found cancer death rates are higher in rural areas than in urban areas. Additionally, cancer death rates appear to be declining at a slower rate in rural areas. As rural health continues to gather national attention, the NCI will continue to work alongside CDC's rural health initiative, the Federal Office of Rural Health Policy (FORHP), and the Centers for Medicare and Medicaid Services' Rural Health Council to address cancer disparities in rural communities. (Source: News stories vi...
Source: News stories via the Rural Assistance Center - August 1, 2017 Category: Rural Health Source Type: news

CMS: Health Insurance MarketplaceSM
Notice of charter renewal for the Centers for Medicare and Medicaid Services' (CMS) Advisory Panel on Outreach and Education (APOE). APOE makes recommendations to the Secretary of Health and Human Services and Administrator of CMS on ways to enhance the effectiveness of consumer education in the areas of Medicare, Medicaid, the Health Insurance Marketplace, and the Children's Health Insurance Program (CHIP). The renewed charter authorizes the APOE through January 19, 2019. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 31, 2017 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, etc.
Pre-publication final rule from the Centers for Medicare and Medicaid Services (CMS) updating fiscal year (FY) 2018 prospective payment rates for skilled nursing facilities (SNFs), resulting in a roughly one percent increase over FY 2017. The rule also finalizes revisions to the SNF Quality Reporting Program (QRP) and Value-Based Purchasing Program, among other things. Additional information is available on theJuly 31, 2017, CMS final rule fact sheet. Final publication in the Federal Register is scheduled for August 4, 2017. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 31, 2017 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2018
Pre-publication final rule from the Centers for Medicare and Medicaid Services (CMS) that updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) in fiscal year 2018, removes the 25 percent payment penalty for IRF Patient Assessment Instrument (PAI) late transmissions, refines the 60 percent rule presumptive methodology, finalizes technical IRF process revisions, and makes changes to the IRF Quality Reporting Program (QRP). IRF payment updates include the discontinuation of the rural adjustment. Additional information is available on theJuly 31, 2017, CMS fact sheet. Final publication in the Fe...
Source: Federal Register updates via the Rural Assistance Center - July 31, 2017 Category: Rural Health Source Type: news

Public Inspection: CMS: Charter Renewals: Advisory Panel on Outreach and Education
Pre-publication notice of charter renewal for the Centers for Medicare and Medicaid Services' (CMS) Advisory Panel on Outreach and Education (APOE). APOE makes recommendations to the Secretary of Health and Human Services and Administrator of CMS on ways to enhance the effectiveness of consumer education in the areas of Medicare, Medicaid, the Health Insurance Marketplace, and the Children's Health Insurance Program (CHIP). The renewed charter authorizes the APOE through January 19, 2019. Final publication in the Federal Register is scheduled for July 31, 2017. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 28, 2017 Category: Rural Health Source Type: news