Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare 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). It’s primarily for software vendors and others who support you with claims processing systems. If you use a software vendor, it’s…… Continue reading Medicare Modernization of Payment Software

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On Friday, April 15, 2022, the Centers for Medicare & Medicaid Services opened the Federal Independent Dispute Resolution (IDR) process for providers (including air ambulance providers), facilities, and health plans and issuers to resolve payment disputes for certain out-of-network charges. To start a dispute, an initiating…… Continue reading Federal Independent Dispute Resolution (IDR) Portal Launched

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On April 18, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1771-P) that provides updates to the fiscal year (FY) 2023 Long-Term Care Hospital Quality Reporting Program (LTCH QRP). This rule includes three Requests for Information (RFI) which include: future measure…… Continue reading Hospital Inpatient Prospective Payment Systems, Quality Programs and Medicare Promoting Interoperability Program Requirements

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Please join the Administrator of the Centers for Medicare & Medicaid Services (CMS), Chiquita Brooks-LaSure, and her leadership team, who will provide updates on the CMS Strategic Vision and key accomplishments during the first quarter of 2022. The Administrator’s vision is for CMS to serve the public…… Continue reading National Stakeholder Call with the CMS Administrator – April 26, 2022

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The new and modified sections of the IRF-PAI, effective October 1, 2023 proposed for the IRF QRP in the FY 2023 IRF PPS Proposed Rule (CMS-1767-P), can be found in the Downloads section on the IRF-PAI and IRF-PAI Manual webpage.  The direct link to the draft…… Continue reading Modified Sections of the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI)

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Find guidance to protect you, your family and your community at COVID.gov, a new one-stop resource for the latest information on COVID-19. It’s a website/toolkit for the overall community in the county in which you live. Here’s what you’ll see when you get to that landing…… Continue reading Find COVID-19 Guidance for Your Community (New CDC Website)

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare “In preparation for the statutory requirement and to remain transparent and allow for additional stakeholder feedback, each spring CMS solicits public and private stakeholders to submit candidate quality and efficiency measures for consideration by the Agency as a part of the pre-rulemaking process. The pre-rulemaking process…… Continue reading CMS Program Measure Needs and Priorities: March 2022 – 2022 Measures Under Consideration List

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare It’s that time of year again – payment updates and proposed rules.  On March 31, 2022, CMS issued the FY2023 PPS proposed rule for IRF and updates to the IRF QRP.   This link is to the 123-page unpublished PDF version that will be published in the…… Continue reading Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2023 and Updates to the IRF Quality Reporting Program

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The complete set of LTCH CARE Data Submission Specifications have been updated and posted on the LTCH Quality Reporting Technical webpage:  https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/LTCH-Technical-Information. The new version is V4.00.1 and the documents containing the specifications are dated 02/14/2022. These FINAL specifications go into effect on October 1, 2022. The…… Continue reading LTCH CARE Data Submission Specifications and LTCH Provider Preview Reports Have Been Reissued

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Centers for Medicare and Medicaid Services (CMS) discovered an error in measure calculations for the IRF Functional Outcome Measure: Change in Mobility Score for Medical Rehabilitation Patients (NQF #2634) and IRF Functional Outcome Measure: Discharge Mobility Score for Medical Rehabilitation Patients (NQF #2636) measures in…… Continue reading IRF Provider Preview Reports Related to the March 2022 Care Compare Refresh Have Been Reissued and are Now Available