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Caring for the Ages

March 2, 2015

CMS Cites AMDA's Efforts to Reduce Antipsychotic Use

Caring for the Ages

March 29, 2016

CMS Clarifies How to Report Medicare Overpayments

Policy Snapshot

January 27, 2025

CMS Delays Telehealth Guidance Amid Communication Freeze

The Centers for Medicare & Medicaid Services (CMS) has not yet released temporary guidance to private Medicare administrators (MACs) for updating payment codes to bill for telehealth services extended through March under the 2024 year-end package. This delay has caused confusion among stakeholders, who...

Policy Snapshot

July 29, 2022

CMS Enhances Nursing Home Rating System with Staffing and Turnover Data

This week the Centers for Medicare & Medicaid Services launched its enhanced Nursing Home Five-Star Quality Rating System, which integrates data nursing homes report on their weekend staffing rates for nurses and information on annual turnover among nurses and administrators.

Policy Snapshot

March 10, 2025

CMS Extends Implementation Deadline for Revised Surveyor Guidance to April 2025

On March 10, 2025, the Centers for Medicare & Medicaid Services (CMS) announced an additional extension for the implementation of all revised surveyor guidance, now set for April 28, 2025, as detailed in QSO-25-14-NH. Initially released in November 2024, the guidance has seen multiple extensions from i...

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...

Caring for the Ages

August 30, 2017

CMS Finalizes Payment, Policy Updates for Medicare Hospital Admissions

Caring for the Ages

September 5, 2018

CMS Finalizes Plans for Pay Hike, Less Regulation

Policy Snapshot

January 19, 2024

CMS Finalizes Rule to Expand Access to Health Information and Improve the Prior Authorization Process

CMS has finalized its Interoperability and Prior Authorization final rule (CMS-0057-F). The rule sets requirements for Medicare Advantage organizations, Medicaid and the Children’s Health Insurance Program (CHIP) fee-for-service programs, Medicaid managed care plans, CHIP managed care entities, and issuers...

Policy Snapshot

November 8, 2024

CMS Implements New Respiratory Illness Reporting Requirements for Long-Term Care Facilities

The Centers for Medicare & Medicaid Services (CMS) has issued its final rule for the Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS), which includes updates to Medicare payment policies and rates for Home Health Agencies (HHAs). Among the key changes, CMS is finalizing a new dat...