Posted by Jason Greis on March 2, 2011 under Articles | 
On February 18, 2011, the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule (Interim Rule) implementing Section 6113 of the Patient Protection and Affordable Care Act (PPACA). The Interim Rule, which becomes effective March 23, 2011, requires administrators of long-term care facilities (LTCF), including skilled nursing facilities (SNF) eligible for reimbursement under Medicare and nursing facilities (NF) eligible for reimbursement under Medicaid, to submit prior written notification of an impending LTCF closure to the Secretary of the U.S. Department of Health and Human Services (Secretary), the state’s long-term care ombudsman and residents of the facility and their legal representatives or other responsible parties. LTCF administrators that do not comply with the new notice requirements may face sanctions, including civil monetary penalties of up to $100,000 and exclusion from participation in Federal health care programs. In addition, LTCFs must have related policies in place to avoid being cited for survey deficiencies. Read More...
Tags: 6113, adminstrator, brent rawlings, close, closure, cms, greisguide, greisguidetoltachs, jason greis, joseph hylak-reinholtz, mcguirewoods, nf, Patient Protection and Affordable Care Act, ppaca, relocate, Relocation, skilled nursing facility, snf
Posted by Jason Greis on October 13, 2010 under Articles |
Thunder rolled down from Capitol Hill last week when Sen. Charles Grassley (R–Iowa) claimed that certain hospital systems and associations were misapplying the intent of Section 501(r)(5)(B) that prohibits the use of gross charges under the Patient Protection and Affordable Care Act. In their comments to the IRS regarding implementing regulations, the American Hospital Association (AHA) urged the IRS to apply a “gross charges” basis to charge those who do not qualify for financial assistance, and to use it as a starting place for calculating assistance to those who do. Read More...
Tags: 501(c)(3), charity care, grassley, greisguide, greisguidetoltachs, hospital, jason greis, ltac, LTACH, LTCH, mcguirewoods, milton cerny, Patient Protection and Affordable Care Act, ppaca, tax exempt
Posted by Jason Greis on April 30, 2010 under Presentations |
The attached presentation addressing the potential benefits and drawbacks of CMS’s Pilot Program under PPACA to develop an episode of care bundled payment model for acute care, post-acute care, physician and outpatient services was presented at the Chicago Bar Association on Friday, April 30, 2010. Please feel free to contact me if you have any questions. Read More...
Tags: bundle, bundled payment, bundling, greisguide, greisguidetoltachs, irf, jason greis, ltac, LTACH, LTCH, mcguirewoods, Patient Protection and Affordable Care Act, post-acute care, ppaca, snf
Posted by Jason Greis on under Articles |
The below CMS e-mail alert was distributed via grouplist on Thursday, April 22, 2010 and impacts LTACHs, among other institutional providers. Read More...
Tags: 0.25%, 3401, cms, greisguide, greisguidetoltachs, hospital, inpatient rehabilitation facility, irf, jason greis, ltac, LTACH, LTCH, market basket, Patient Protection and Affordable Care Act, ppaca, pps, prospective payment system
Posted by Jason Greis on March 28, 2010 under Articles |
On March 1, 2010, the Medicare Payment Advisory Commission (“MedPAC” or the “Commission”) released its 2010 Report to the Congress: Medicare Payment Policy (the “Final Report”) recommending annual Medicare payment updates for Medicare fee-for-service (“FFS”) payment systems, including among others, hospitals (including both general acute care and long term care hospitals) and physicians. MedPAC is an independent congressional agency established by the Balanced Budget Act of 1997 to formulate recommendations to Congress to address quality and cost-containment issues affecting the Medicare program and its beneficiaries. Two reports, issued in March and June each year, are the primary outlets for MedPAC’s policy and payment system updates, which change base rates paid by Medicare for a unit of service provided by a FFS provider—for example, a hospital admission or a physician visit or procedure. Recommended payment system updates are based on an assessment of payment adequacy that takes into account beneficiaries’ access to care, supply of providers, quality of care, providers’ access to capital and Medicare margins. Read More...
Tags: bundling, CBO, cms, doctor, equipment utilization assumption rate, ffs, grassley, greisguide, greisguidetoltachs, Health Care and Education Affordability Act of 2010, hhs, hr 4691, imaging, independent payment advisory board, ipab, jason greis, long term acute care hospital, long term care hospital, ltac, LTACH, LTCH, medicare, Medicare Payment Advisory Commission, MedPAC, obama, Patient Protection and Affordable Care Act, pha, physician, physician-owned hospital, primary care physician, radiologist, sgr, sustainable growth rate, tort reform
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