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Accountable Care Organizations (ACOs)

CMS proposal: Ditch “coding levels” for outpatient services

July 10, 2013  |  Pamela Tabar, Editor-in-Chief
news

A new payment proposal from the Centers for Medicare & Medicaid Services (CMS) could impact the reimbursements for long-term care hospitals, post-acute care and rehab facilities.

CMS limits Medicare coverage of exorbitant brain test to specific cases

July 8, 2013  |  Pamela Tabar, Editor-in-Chief
news

There’s a brand-new imaging test available to diagnose Alzheimer’s disease, but it’s so expensive that CMS is limiting the Medicare coverage of the test to two circumstances.

CMS revises discharge planning guidelines

May 21, 2013  |  Pamela Tabar, Editor-in-Chief
news

New CMS guidelines take a deeper look at discharge planning, clarifying who is responsible for what at the time of discharge and why discharge planning is a key to reducing 30-day readmissions.

CMMI rethinks its innovation program, sharpens focus for Round 2 funding

May 16, 2013  |  Pamela Tabar, Editor-in-Chief
news

CMS’ Center for Medicare and Medicaid Innovation (CMMI) announces a significantly smaller and more-focused project list for Round Two of the funding awards.

CMS proposes $180 million increase in hospice reimbursements

May 1, 2013  |  Pamela Tabar, Senior Editor
news

CMS has proposed a new rule that would raise hospice payments under Medicare by $180 million next year.

CMS sweetens the deal for fraud whistleblowers

April 25, 2013  |  Pamela Tabar, Senior Editor
news

Know about someone conducting sneaky Medicare billing practices? CMS’ new whistleblower proposal might pay you more than your boss does.

Senate committee approves Tavenner for CMS helm

April 24, 2013  |  Pamela Tabar, Senior Editor
news

Marilyn Tavenner has obtained a vote of confidence from a Senate committee in her bid to become the first confirmed administrator of the Centers for Medicare & Medicaid Services in seven years.

Industry leaders weigh in on President Obama’s FY2014 budget proposal

April 23, 2013  |  Bob Gatty
article

This summer will be a busy one as Congress deliberates the 2014 budget and how, without revisions, its proposed cuts to Medicare may affect the physicians, hospitals and long-term care providers.

The pros and cons of per capita caps for Medicaid

April 22, 2013  |  Pamela Tabar, Senior Editor
news

Federal agencies and lawmakers keep revising one possible way to curb Medicaid spending growth: Per capita caps.

Obama budget will cut Medicare but boost Medicaid and mental health

April 11, 2013  |  Pamela Tabar, Senior Editor
news

President Obama's new budget, released by the White House Wednesday, includes plenty of cuts, but also contains a few surprising increases.

CMS releases guidelines on delegated nursing roles in SNFs

April 4, 2013  |  Pamela Tabar, Senior Editor
news

A new Centers for Medicare & Medicaid Services document clarifies what tasks physicians may delegate to nurses within nursing homes serving Medicare and Medicaid residents.

One-on-one with.... Ruta Kadonoff

April 2, 2013  |  Pamela Tabar, Senior Editor
article

Senior Editor Pamela Tabar talks with Ruta Kadonoff, vice president of quality and regulatory affairs for the American Health Care Association/National Center for Assisted Living (AHCA/NCAL), about quality in long-term care—and why being able to measure it...

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