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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...
Policy Snapshot

January 17, 2025

CMS Revises Surveyor Guidance Again, Delays Implementation to March 2025

The Centers for Medicare & Medicaid Services (CMS) has announced updates to the revised nursing home surveyor guidance initially released in November 2024. These updates encompass revised guidance and training for nursing services and the Payroll-Based Journal Staffing Report. Additionally, CMS is exte...
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

May 26, 2025

House Passes Budget Bill with Implications for Medicare and Medicaid

On May 22, 2025, the House of Representatives narrowly passed the "One Big Beautiful Bill Act" (H.R. 1), a comprehensive budget reconciliation measure that includes significant fiscal and policy changes. The bill, passed by a 215–214–1 vote, aims to extend tax cuts from the 2017 Tax Cuts and Jobs...