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Policy Snapshot

March 15, 2024

Skilled Nursing Facilities: Billing Medicare for Respiratory Vaccines

Medicare pays for vaccines administered during a patient’s stay in a nursing home. Vaccine payment depends on the type of vaccine and whether the patient is using their Skilled Nursing Facility Part A benefit. Learn how to bill for a number of vaccines
Policy Snapshot

October 7, 2024

Deadline Extended: Urge Your Members of Congress to Take Action on Medicare

The Centers for Medicare & Medicaid Services (CMS) recently released the 2025 Medicare Physician Fee Schedule Proposed Rule (MPFS) that includes yet another 2.8% cut to Medicare payments on January 1, 2025. Reps. Mariannette Miller-Meeks, MD (R-IA) and Jimmy Panetta (D-CA), along with a bipartisan grou...
Policy Snapshot

January 5, 2024

MIPS 2023 Data Submission Is Now Open

CMS has opened data submission for Merit-based Incentive Payment System (MIPS)-eligible clinicians who participated in the 2023 performance year of the Quality Payment Program (QPP). Data can be submitted and updated until 8:00 PM ET on April 1, 2024.
Policy Snapshot

June 23, 2026

Tell Congress: Fix the Unfair Medicare Cut to Nursing Home Clinician Visits

Medicare is underpaying for the care you deliver in skilled nursing facilities, and a simple fix is within reach. Just answer a few short questions. A personalized letter to your members of Congress will be generated and sent to your email for you to review. Once you approve it, you can send it directly to...
JAMDA

October 10, 2021

Use of Post-Acute Care by Medicare Beneficiaries With a Diagnosis of Dementia

Hospitalized patients with dementia transitioning to post-acute care may be particularly vulnerable to changes in post-acute care utilization driven by payment reforms; however, use of post-acute care in this population is incompletely understood. We sought to describe post-acute care utilization in skille...
JAMDA

December 20, 2018

The Underappreciated Role of Low Muscle Mass in the Management of Malnutrition

Preserving muscle is not only crucial for maintaining proper physical movement, but also for its many metabolic and homeostatic roles. Low muscle mass has been shown to adversely affect health outcomes in a variety of disease states (eg, chronic obstructive pulmonary disease, cancer, cardiovascular disease...
Policy Snapshot

January 13, 2025

CMS Reminds Clinicians to Use Correct Place of Service Codes

The Centers for Medicare & Medicaid Services (CMS) has issued a reminder to clinicians about the importance of using the correct Place of Service (POS) codes on Medicare claims. These codes are crucial for ensuring proper payment for services provided to patients in various inpatient facilities, such a...