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 October 12, 2010 under Articles |
In addition to the numerous misconceptions about Accountable Care Organizations (ACOs) and the Shared Savings Program, there are a number of unknowns regarding implementation, including permitted legal structures, payment amounts, and performance measurement. This article identifies and discusses some of the more significant unanswered questions about ACOs and the Shared Savings Program. Read More...
Tags: accountable care organization, aco, brent rawlings, greisguide, greisguidetoltachs, jason greis, jim riley, long term care hospital, ltac, LTACH, LTCH, medicare, Patient Protection and Accountable Care Act, per capita, performance, post-acute, ppaca, quality, scott downing, shared savings program, structure, thomas stallings
Posted by Jason Greis on August 24, 2010 under Events |
Thursday, September 16, 2010
Noon – 1 p.m. (ET) | 11 a.m. – Noon (CT) | 9 a.m. – 10 a.m. (PT)
Complimentary Webinar Read More...
Tags: barton walker, complimentary, consolidation, greisguide, greisguidetoltachs, hospital, james burgdorfer, juniper advisory, krist werling, mcguirewoods, ppaca, reform, rex burgdorfer, Thomas C. Brown Jr., webinar
Posted by Jason Greis on August 12, 2010 under Articles |
Section 6003 of the Patient Protection and Affordable Care Act, Public Law 111-148 (H.R. 3590) (PPACA) makes a change to the “in-office ancillary services” exception to the Stark physician self-referral law that impacts physician practices providing certain radiology services in their offices. In short, the change requires physicians making a referral for magnetic resonance imaging (MRI), positron emission tomography (PET), and computed tomography (CT), or certain other radiology services in their offices, to make a disclosure to the patient that such services can be provided elsewhere and to include a list of alternative providers. Read More...
Tags: brent rawlings, ct, david wolff, doctor, greisguide, greisguidetoltachs, in-office ancillary services exception, long term care hospital, ltac, LTACH, LTCH, mcguirewoods, mri, pet, physician, ppaca, tom stallings
Posted by Jason Greis on August 3, 2010 under Articles |
The Centers for Medicare & Medicaid Services (“CMS”) has recently released various notices and final rules updating 2011 Medicare payment rates for post-acute care providers, including long-term acute care hospitals (“LTACHs”), inpatient rehabilitation facilities (“IRFs”), skilled nursing facilities (“SNFs”), home health agencies (“HHAs”) and hospices. These Medicare rate updates generally implement negative payment adjustments mandated by the Patient Protection and Affordable Care Act (Pub. L. No. 111-148), as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. No. 111-152) (together, “PPACA”). Yet in spite of these adjustments, SNFs, hospices, IRFs and LTACH have fared relatively well with collective Medicare payment increases totaling $919 million, with HHAs offsetting these reimbursement gains by suffering a proposed $900 million Medicare reimbursement cut for calendar year 2011. Read More...
Tags: adjust, cms, cy 2011, greisguide, greisguidetoltachs, hha, home health, hospice, hospital, inpatient rehabilitation facility, irf, jason greis, long term acute care hospital, long term care hospital, ltac, LTACH, LTCH, market basket, marketbasket, mcguirewoods, medicare, ppaca, ry 2011, skilled nursing, snf, standard federal rate
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