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Policy Snapshot

November 18, 2024

CMS Releases New National Quality Strategy Fact Sheets

The Centers for Medicare & Medicaid Services (CMS) released the Advancing Health Care Safety for All: CMS’ Path to Promote Zero Preventable Harm Fact Sheet and updated the National Quality Strategy Cross-Cutting Initiative Fact Sheet.
Policy Snapshot

November 18, 2024

Skilled Nursing Facilities Revalidation Due Date Extended to May 1, 2025

The Centers for Medicare & Medicaid Services (CMS) is revalidating skilled nursing facilities (SNFs) enrolled in Medicare as part of a comprehensive effort to collect updated data on ownership, managerial structures, and related parties. This revalidation process will take place from October to Decembe...
Policy Snapshot

November 4, 2024

2025 Physician Fee Schedule Final Rule Released

The Centers for Medicare & Medicaid Services (CMS) has issued the final rule for the Medicare Physician Payment Schedule for Calendar Year (CY) 2025. The staff at the Post-Acute and Long-Term Care Medical Association will review the more than 3,000-page rule and prepare a summary.
Policy Snapshot

November 1, 2024

Ask Congress to Support New Bill Preventing Medicare Payment Cuts

Without congressional action, the budget neutrality requirements mandated by the CY 2025 Medicare Physician Fee Schedule (MPFS) Proposed Rule will cause the Conversion Factor (CF) to decrease from approximately $33.29 to $32.36 starting January 1, 2025. This 2.8% reduction marks the fifth consecutive year ...
Policy Snapshot

October 25, 2024

2023 MIPS Final Scores and 2025 MIPS Payment Adjustments

The Centers for Medicare & Medicaid Services (CMS) recently released the mean and median final scores and payment adjustments for the 2023 performance year/2025 payment year of the Merit-based Incentive Payment System (MIPS).
Policy Snapshot

October 18, 2024

House Majority Calls for Urgent Action on Medicare Payment Cut

A bipartisan majority in the House of Representatives, consisting of 233 members, has signed a letter urging leadership to swiftly implement legislative solutions to prevent a 2.8% cut to Medicare payments set for January 1, 2025. The letter emphasizes the need for a payment update reflecting the actual pa...
Policy Snapshot

October 18, 2024

CMS Reporting of SNF Ownership and Management Sub-regulatory Guidance Released

The Centers for Medicare & Medicaid Services (CMS) announced recently that it will be revalidating enrolled skilled nursing facilities (SNFs) from October–December 2024 to collect data on ownership, managerial (e.g. medical directors), and related party information. To aid in the collection of that inf...
Policy Snapshot

October 18, 2024

CMS Finalizes New Medicare Appeal Rights for Hospital Status Changes

Recently, the Centers for Medicare & Medicaid Services (CMS) finalized the Medicare Program: Appeal Rights for Certain Changes in Patient Status rule. This final rule establishes an appeal process for Medicare beneficiaries admitted as hospital inpatients but later reclassified as outpatients receiving...