CMS posted the QSO-24-13 NH on 6/18/2024. The memorandum summary states, under the “Minimum Staffing Standards for Long-Term Care (LTC) Facilities and Medicaid Institutional Payment Transparency Reporting” final rule, the requirements for Facility Assessment have been revised. These revised requirements have been moved to 42 CFR 483.71. Existing regulations at 42 CFR 483.70(f) through (q) have been redesignated as paragraphs (e) through (p), respectively. https://cstu.io/dfd401
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Under the “Minimum Staffing Standards for Long-Term Care (LTC) Facilities and Medicaid Institutional Payment Transparency Reporting” final rule, the requirements for Facility Assessment have been revised!! These revised requirements have been moved to 42 CFR 483.71. To read the full memorandum, visit https://lnkd.in/grcFsznM www.renshawconsulting.com #renshawreimbursementandconsulting #longtermcarefacilities #mdsconsultant #mdscoding #minimumdatasetcoding #clinicalreimbursementconsulting #themdsgurupodcast
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For many facilities, the reality of the first quarter clearinghouse drama has pushed their 2024 price transparency priorities to the bottom of the to-do list. To ensure avoiding the CMS Enforcement Actions, it's crucial to understand the latest requirements and new guidelines set forth by the Centers for Medicare & Medicaid Services (CMS), effective as of January 1, 2024. Read our latest blog and stay abreast of this year’s transparency compliance regulatory changes, which are paramount for hospitals and health systems to maintain financial integrity and foster patient trust. https://buff.ly/4bh2oKR #CMSPriceTransparency #TheSSIGroup
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For many facilities, the reality of the first quarter clearinghouse drama has pushed their 2024 price transparency priorities to the bottom of the to-do list. To ensure avoiding the CMS Enforcement Actions, it's crucial to understand the latest requirements and new guidelines set forth by the Centers for Medicare & Medicaid Services (CMS), effective as of January 1, 2024. Read our latest blog and stay abreast of this year’s transparency compliance regulatory changes, which are paramount for hospitals and health systems to maintain financial integrity and foster patient trust. https://buff.ly/4bh2oKR #CMSPriceTransparency #TheSSIGroup
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Register for our monthly educational webinar on May 15th, 11:00am PST, 2:00pm EST and hear Michelle Allan and Ciara F. Koba discuss the new WCMSA reporting fields for Section 111 reporting. #riskmanagement #claimsmanagement #medicarecompliance
Join us for our educational webinar on May 15th, 11:00AM PST, 2:00PM EST on Workers' Compensation Medicare Set-Aside Arrangement (WCMSA) Data in Section 111 Reporting! Learn about the latest changes in WCMSA reporting fields and Centers for Medicare and Medicaid Services (CMS) guidance from Michelle Allan and Ciara F. Koba. Registery Today at: https://lnkd.in/guTTHHTZ #AllanKoba #WCMSAInsights #Section111 #CMSGuidance
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From page 283 of "2025 Mandate for Leadership" (a.k.a. Pr0ject 2o25): "The first year that Medicare spending was visible on the books was 1967. From that point on through 2020—according to the American Main Street Initiative’s analysis of official federal tallies—Medicare and Medicaid combined cost $17.8 trillion, while our combined federal deficits over that same span were $17.9 trillion. In essence, our deficit problem is a Medicare and Medicaid problem." The authors infer that Medicare/Medicaid are the sole drivers behind the federal deficit. Maybe they also think that clapping your hands and stomping your feet keep elephants from attacking. Make sure to #VoteStraightBlue
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Agents - do you have clients turning 65? Join Jon Randall today at 10 Central for a live discussion on bridging Medicare gaps with coverage that every 65-year-old could need! Click here to join us >> https://lnkd.in/egq3UncG #shorttermcare #extendedcare #insuranceagents #insurancesales
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#MedicareAdvantage plans are inherently more complex than traditional #Medicare and managing their nuances can be a challenge. BerryDunn shares best practices hospitals can implement to decrease their Medicare Advantage risks. https://bit.ly/3GPJAVN
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Leavitt Partners' Sarah Hudson Scholle - MPH, DrPH, Kyle Levin, and Tanner Fliss have identified a set of eight policy options to reform the Medicare Advantage (MA) Quality Bonus Program (QBP) and the Star Ratings System in their newly release report, “Future Visions of Reform: Policy Options for The Medicare Advantage Quality Bonus Program and Star Ratings”. These policy options are intended to improve the MA program for its enrollees and meaningfully contribute to the fiscal sustainability of the Medicare program, as well as to preserve rewards and incentives for MA plans to provide high-quality care to their members. Read a summary and access the full report here: https://bityl.co/PIGs #Medicare #valuebasedhealthcare #MedicareSTARratings
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Read our recent blog post to learn how state Medicaid agencies can help improve client services and ex parte renewal rates by utilizing The Work Number®: https://ow.ly/FEMG50Qhm63
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Read our recent blog post to learn how state Medicaid agencies can help improve client services and ex parte renewal rates by utilizing The Work Number®: https://ow.ly/jbp650QfZg3
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