Briggs Healthcare

MARCH 16, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, March 2023, Consolidated June 2020 to March 2023 document so that all IRF providers have the benefit of the clarifications (..)

Rehabilitation 40

Rehabilitation Medicaid Medicare Healthcare 40

Briggs Healthcare

JULY 11, 2022

Post-acute care (PAC) represents an important component of the health care delivery system in the United States, with the Medicare fee-for-service program spending more than $57 billion on these services in 2019 (The Medicare Payment Advisory Commission (MedPAC), 2021a). 2018; Barnett et al., 2019; Buntin et al., 2010; Chovanec et al.,

Medicare 98

Medicare Rehabilitation Nursing Hospitals 98

Briggs Healthcare

MARCH 17, 2022

The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, March 2022, Consolidated June 2020 to March 2022 document so that all IRF providers have the benefit of the clarifications to existing guidance.

Rehabilitation 75

Rehabilitation Medicaid Medicare Healthcare 75

Home Health Care

AUGUST 30, 2021

CommonSpirit Health carved out $136 million in savings to Medicare for 2020, while also improving overall outcomes for hundreds of thousands of beneficiaries, the company recently announced. CommonSpirit Health is a participant in the Medicare Shared Savings Program (MSSP), which began back in 2012 after being designed by the U.S.

Medicare 116

Medicare Rehabilitation Home Care Accountable Care 116

Home Health Care

AUGUST 18, 2023

An extensive body of research exists highlighting the differences in post-acute care utilization between fee-for-service (FFS) Medicare beneficiaries and those enrolled in Medicare Advantage (MA). Of those, 815 beneficiaries were Medicare Advantage enrollees, with the remainder – 1,542 individuals – on FFS Medicare.

Medicare 98

Medicare Rehabilitation Medicaid Nursing 98

HIT Consultant

JANUARY 18, 2023

What You Should Know: – Sharecare , the digital health company that helps people manage all their health in one place, today announced Ornish Lifestyle Medicine by Sharecare , the company’s Intensive Cardiac Rehabilitation (ICR) program, is now available through a virtual delivery model.

Medicare 98

Medicare Rehabilitation Nursing 98

Briggs Healthcare

APRIL 21, 2022

CMS has provided MLN4761491 – Medicare Modernization of Payment Software Fact Sheet (5-pages in length) for providers submitting institutional claims to Medicare Administrative Contractors (MACs). Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. CMS is modernizing its grouping and code editor software.

Medicare 52

Medicare Rehabilitation Nursing Integration 52

Home Health Care

APRIL 28, 2022

As was the case for much of 2021, the home health admissions growth we generated in Q1 came predominantly under our Medicare Advantage (MA) and managed care contracts,” Encompass Health President and CEO Mark Tarr said during a Thursday morning earnings call. There was a 4.9% The Enhabit spinoff. The plan to separate the $1.1

Medicare 111

Medicare Rehabilitation 111

Healthcare It News

NOVEMBER 11, 2024

While there are privacy, security and regulatory expectations (for example, the Joint Commission, Centers for Medicare and Medicaid Services , private insurance) for telemedicine programs, there is not yet an official group evaluating or designating maturity levels for these programs.

Telemedicine 320

Telemedicine Nursing Rehabilitation Physical Therapy 320

KHN

FEBRUARY 8, 2022

The penalties — a 1% reduction in Medicare payments over 12 months — are based on the experiences of Medicare patients discharged from the hospital between July 2018 and the end of 2019, before the pandemic began in earnest. Paradoxically, all those hospitals have five stars, the best rating, on Medicare’s Care Compare website.

Medicare 136

Medicare Hospital IT Hospitals Patient Safety 136

Briggs Healthcare

MARCH 3, 2022

Learn about 2022 regulation changes to payment, quality, and policy for : Acute care hospital Hospice Skilled nursing facility Ambulatory surgical center Hospital outpatient Inpatient psychiatric facility Inpatient rehabilitation facility Long-term care hospital Durable medical equipment, prosthetics, orthotics, & supplies (New) Home health.

Medicare 52

Medicare Rehabilitation Nursing Regulations 52

Sequence Health

NOVEMBER 16, 2021

One of these hoops is getting Medicare coverage for transitional care services like physical therapy following surgery, skilled nursing after hospitalization, and long-term rehabilitation programs. Today, we will take a look at how to get Medicare coverage for transitional care management services for your patients.

Medicare 52

Medicare Physical Therapy Rehabilitation Hospitals 52

Briggs Healthcare

JUNE 21, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Medicare Payment Advisory Commission (MedPAC) has released its June 2023 Report to the Congress: Medicare and the Health Care Delivery System. You may go to our website at www.medpac.gov to view the 10 chapters of the report, or follow the links below.

Medicare 52

Medicare Rehabilitation Accountability Quality of Care 52

Briggs Healthcare

JULY 25, 2023

In addition, it covers the Medicare Advantage program and prescription drug coverage for Medicare beneficiaries, including Part D. In addition, it covers the Medicare Advantage program and prescription drug coverage for Medicare beneficiaries, including Part D. This Data Book is packed with information and charts.

Medicare 52

Medicare Ambulatory Care Rehabilitation Quality of Care 52

Briggs Healthcare

SEPTEMBER 16, 2021

The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, September 2021, Consolidated June 2020 to September 2021 document so that all IRF providers have the benefit of the clarifications to existing guidance.

Rehabilitation 40

Rehabilitation Medicaid Medicare Healthcare 40

Home Health Care

AUGUST 19, 2024

This article is a part of your HHCN+ Membership Home health providers have lately been hamstrung by payment rate cuts , staffing woes and Medicare Advantage (MA) penetration. The LTM Group, based in Dayton, Ohio, provides home health, personal care, hospice, and rehabilitation services through multiple locations.

Rehabilitation 110

Rehabilitation Home Care Medicare Prevention 110

Etactics

JUNE 29, 2023

And those who work with the elderly and disabled in a nursing home setting will likely find themselves working with Medicare. While Medicare may not fully cover a stay in a nursing home, depending on an individual's circumstances, they can still qualify for partial coverage. Medicare coverage depends on: State and federal laws.

Nursing 52

Nursing Medicare Home Care Medicaid 52

Briggs Healthcare

MARCH 16, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare On March 15, 2023, the Medicare Payment Advisory Commission (MedPAC) released its March 2023 Report to the Congress: Medicare Payment Policy.

Medicare 40

Medicare Rehabilitation Nursing Hospitals 40

Home Health Care

NOVEMBER 19, 2023

The Centers for Medicare & Medicaid Services (CMS) released its improper payment report last week. Overall, the Medicare fee-for-service (FFS) estimated improper payment was 7.38%, or $31.2 Those sectors were skilled nursing facilities, outpatient hospitals, inpatient rehabilitation facilities and hospice.

Rehabilitation 116

Rehabilitation Medicare Medicaid Nursing 116

Home Health Care

MAY 11, 2022

The highly fragmented home health industry has turned providers into commodities, at least in the eyes of Medicare Advantage (MA) organizations. Because there are so many providers looking to make managed care inroads, the rates home health operators receive from MA sources are typically far below what they get from fee-for-service Medicare.

Medicare 91

Medicare Rehabilitation Accountability Accountable Care 91

Home Health Care

AUGUST 12, 2024

The company provides – through multiple locations – home health, personal care, hospice and rehabilitation services. The business was founded by Dr. Ruth Constant, who developed the first home health agency certified under Medicare in 1966. The deal will add over 500 team members and more than 1,000 patients to the company’s network.

Rehabilitation 111

Rehabilitation Home Care Medicare 111

Home Health Care

JULY 14, 2023

Centers for Medicare & Medicaid Services (CMS) published its home health proposed payment rule for 2024. The unfortunate catch-22 results in readmissions to hospitals and, perhaps, even being wait-listed for long-term care centers and rehabilitation centers. These cuts will actually increase total health care costs for Medicare.

Medicare 98

Medicare Home Care Rehabilitation Medicaid 98

Sheppard Health Law

MAY 5, 2022

Department of Health and Human Services Office of Inspector (“OIG”) released a report that studied prior authorization denials and payment denials by Medicare Advantage Organizations (“MAOs”) (the “Report”). Thirteen percent of denied prior authorization requests met Medicare coverage rules. The OIG Report. additional test results).

Medicare 52

Medicare Rehabilitation Urgent Care Patient Safety 52

Home Health Care

OCTOBER 18, 2024

The Senate Homeland Security Permanent Subcommittee on Investigations (PSI) released a report on Thursday revealing that the nation’s three largest Medicare Advantage (MA) insurers have significantly increased the rate at which they denied seniors’ post-acute care from 2020 to 2023.

Rehabilitation 111

Rehabilitation Regulations Medicare Hospitals 111

Home Health Care

MARCH 2, 2023

Participating in home-based cardiac rehabilitation — following a heart attack or cardiac procedure — can help lower the possibility of death resulting from heart-related complications. Specifically, home-based cardiac rehabilitation led to a 36% decrease in death within four years of participation.

Rehabilitation 96

Rehabilitation Medicare Primary Care Integration 96

HIT Consultant

MARCH 21, 2022

Cardiac rehabilitation is indicated following a heart attack, heart surgery (stent placement, coronary artery bypass surgery, or valvular surgery) as well as for patients who chronically manage congestive heart failure or stable angina. Recora is redesigning heart health, beginning with cardiac recovery.

Rehabilitation 98

Rehabilitation Medicare Nursing Hospitals 98

p3care

NOVEMBER 7, 2023

The policy change perfectly aligns with the CMS’s plan for growth and the Medicare PI Program. Medicare CQMs for ACOs CMS has given the green light to the collection of Medicare Clinical Quality Measures (CQMs) for ACOs participating in the MSSP, specifically under the Medicare CQMs collection type.

Patient Safety 130

Patient Safety Rehabilitation Medicare Prevention 130

Home Health Care

SEPTEMBER 30, 2022

One question that has always loomed large, however, was how one payment system could be applied to skilled nursing facilities (SNFs), in-patient rehabilitation facilities (IRFs), long-term care hospitals (LTCHs) and, of course, home health providers. The analysts also looked at the implementation issues of a post-acute care PPS.

Rehabilitation 105

Rehabilitation Medicare Nursing Hospitals 105

Home Health Care

NOVEMBER 14, 2022

Care Compare – the all-in-one search tool for consumers seeking home health, hospice and other Medicare-reimbursed health care services – will now include new information on providers’ relationships with doctors and clinicians. Centers for Medicare & Medicaid Services (CMS) announced the update on Monday.

Rehabilitation 105

Rehabilitation Medicare Nursing Doctors 105

Briggs Healthcare

MARCH 16, 2022

Washington, DC, March 15, 2022—Today, the Medicare Payment Advisory Commission (MedPAC) releases its March 2022 Report to the Congress: Medicare Payment Policy. The high level of Medicare’s payments indicates that a reduction to payments is needed to more closely align aggregate payments to aggregate costs.”.

Medicare 40

Medicare Nursing Rehabilitation Hospitals 40

Briggs Healthcare

OCTOBER 4, 2021

Section 2820, Low Medicare Volume Prospective Payment Rates for Skilled Nursing Facilities Effective for Cost Reporting Periods Beginning on or after October 1, 1986 and Prior to Cost Reporting Periods Beginning on or After July 1, 1998 , is obsolete and is being removed from the manual. User’s Manual. User’s Manual. User’s Manual.

Medicare 40

Medicare Rehabilitation Nursing Integration 40

Briggs Healthcare

JULY 28, 2022

The Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1767-F) on July 27, 2022 that updates Medicare payment policies and rates for facilities under the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and the IRF Quality Reporting Program (QRP) for fiscal year (FY) 2023.

Rehabilitation 75

Rehabilitation Medicare Medicaid Healthcare 75

KHN

FEBRUARY 8, 2022

The penalties — a 1% reduction in Medicare payments over 12 months — are based on the experiences of Medicare patients discharged from the hospital between July 2018 and the end of 2019, before the pandemic began in earnest. Paradoxically, all those hospitals have five stars, the best rating, on Medicare’s Care Compare website.

Medicare 52

Medicare Hospital IT Hospitals Patient Safety 52

Home Health Care

JANUARY 12, 2023

In a unanimous vote Thursday, the Medicare Payment Advisory Commission (MedPAC) recommended that the Medicare base payment rate for home health care be reduced by 7% for CY 2024. The commission — established by the Balanced Budget Act of 1997 — regularly meets as part of its mission to inform Congress on Medicare spending and policy.

Rehabilitation 105

Rehabilitation Medicare Quality of Care Nursing 105

Briggs Healthcare

OCTOBER 6, 2023

Oct 02, 2023 Notice of Upcoming SNF QRP Measure Removals The Centers for Medicare & Medicaid Services (CMS) is alerting Skilled Nursing Facility (SNF) providers of upcoming measure removals from the SNF Quality Reporting Program (QRP).

Rehabilitation 40

Rehabilitation Medicaid Nursing Medicare 40

Briggs Healthcare

MAY 10, 2022

The Centers for Medicare & Medicaid Services (CMS) is providing a virtual training program that will review the updated guidance for the IRF-PAI 4.0 Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. and the LCDS 5.0 for providers in the IRF and LTCH settings. Part 1 of the Virtual Training Program is now available.

Rehabilitation 52

Rehabilitation Hospitals Medicaid Medicare 52

HIT Consultant

NOVEMBER 16, 2022

What You Should Know: – Cipher Skin and Parker Health launches a new pilot program to help bring tech-enabled physical therapy to Medicare and Medicaid patients. This collaboration will help accelerate physical rehabilitation by improving patient engagement and care plan completion. Why It Matters.

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Physical Therapy Rehabilitation Medicaid Medicare 52