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Policy Snapshot

January 26, 2024

CMS Provides Additional Information on G2211 Code

The Centers for Medicare & Medicaid Services (CMS) has issued an MLN Matters Article on the new G2211 code. AMDA realizes that there have been questions about this code. In our communications, we understand that CMS is also developing an FAQ document. We continue to work closely with other specialty s...

Resolutions

March 1, 2001

E01 - Use of Standing Orders for Medically Necessary Labs

White Papers

March 19, 2016

N16 - Whom Do We Serve? Describing the Target Population for PALTC, Focusing on Nursing Facility Settings, in the Era of Population Health

Basic Page

Framework for Meeting CMS Benchmarks

For primary care practices exploring value-based care opportunities, participating in an ACO under the Shared Savings Program offers a structured pathway to improve patient outcomes while achieving financial rewards. A critical part of success in an ACO involves reporting quality data annually to CMS. This...

JAMDA

September 27, 2017

Impact of Contextual Factors on Interventions to Reduce Acute Care Transfers II Implementation and Hospital Readmission Rates

Identify contextual and implementation factors impacting the effectiveness of an organizational-level intervention to reduce preventable hospital readmissions from affiliated skilled nursing facilities (SNFs).

Policy Snapshot

April 28, 2025

CMS' Updated Surveyor Guidance for Skilled Nursing Facilities Now in Effect

As of April 28, 2025, the Centers for Medicare & Medicaid Services (CMS) has officially implemented its revised surveyor guidance for skilled nursing facilities (SNFs). Originally announced in November 2024, the update experienced several extensions before taking effect on the final implementation date...

Policy Snapshot

November 9, 2023

Reminder: CMS Accepting 2023 MIPS Extreme and Uncontrollable Circumstances Exception and MIPS Promoting Interoperability Performance Category Hardship Exception Applications

The Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances (EUC) Exception and MIPS Promoting Interoperability Performance Category Hardship Exception applications are available for the 2023 performance year. Applications can be submitted until 8:00 PM ET on January 2, 2024. ...

JAMDA

June 22, 2024

External Validation and Further Exploration of Fall Prediction Models Based on Questionnaires and Daily-Life Trunk Accelerometry

Ambulatory measurements of trunk accelerations can provide valuable insight into the amount and quality of daily life activities. Such information has been used to create models to identify individuals at high risk of falls. However, external validation of such prediction models is lacking, yet crucial for...

Policy Snapshot

December 15, 2023

Billing for Flu, Pneumococcal, and COVID-19 Vaccines

For flu, pneumococcal, and COVID-19 vaccines furnished on or after July 1, 2023, to patients staying in a Medicare Part A-covered skilled nursing facility (SNF), immunizers can no longer bill Medicare directly.

Policy Snapshot

February 16, 2024

Register for 2024 MIPS Webinar on February 22

On Thursday, February 22, 2024, at 3:00 PM ET, the Centers for Medicare & Medicaid Services (CMS) will host a webinar to provide an overview of the development, criteria, and evaluation of Merit-based Incentive Payment System (MIPS) quality and cost measures that align with CMS priorities.