New Long Term Care Survey Process

In continuation of the regulation reform, on May 23, 2017 the Center for Medicare & Medicaid services (CMS) posted on the Nursing Home survey & certification website a slide presentation...

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Medicare Prospective Payment System FY 2018 Proposed Rules

On April 27, 2017, Centers for Medicare and Medicaid Services (CMS) published proposed payment and policy changes for skilled nursing facilities.

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Centers for Medicare & Medicaid Services Releases Emergency Preparedness Interpretive Guidelines

Effective November 15, 2017, Medicare and Medicaid Participating Providers and Suppliers must comply with and implement all regulations posted in the final Emergency Preparedness Requirements.

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Assisted Living Program Update

As was reported in March, there were several budget proposals strongly endorsed by LeadingAge New York, and other trade organizations, including Empire State Association for Assisted Living (ESAAL), introduced and...

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Update on Proposed Delay for Revised Home Health Conditions of Participation

CMS recently issued a rule that formally delays the effective date for the revised Medicare and Medicaid Conditions of Participation (CoPs) for (Certified) Home Health Agencies (CHHAs) for an additional...

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CMS Releases Interpretive Guidance & Related Information for LTC Survey Process

On Friday, June 30, 2017, the Survey & Certification Group at the Centers for Medicare & Medicaid Services (CMS) released a memorandum titled “Revision to State Operations Manual (SOM) Appendix...

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Prevention and Management of Legionella Risk in Healthcare Facilities

On June 2, 2017, the CMS Center for Clinical Standards and Quality/Survey Certification Group distributed the S&C 17-30-ALL letter to State survey Agencies which provided guidance on the expectations that...

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CMS Requirements of Participation – Facility Assessment

The 2016 CMS Requirements of Participation mandate that all skilled nursing facilities (facilities) conduct and document a facility wide assessment to identify the resources required to care for its residents...

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Post Pay Audit of SNF Claims

As the Supplemental Medical Review Contractor (SMRC) selected by the Centers for Medicare and Medicaid Services (CMS), StrategicHealthSolutions, LLC (Strategic) will perform and/or provide support for a number of tasks...

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CMS Considering Replacement of RUG-IV Case Mix Classification System

 On May 4, 2017, the Centers for Medicare and Medicaid Services (CMS) published both the FFY 2018 Prospective Payment System (PPS) and Consolidated Billing for Skilled Nursing Facilities (SNF) proposed...

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