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Policy Snapshot

February 9, 2024

CMS Calling on Skilled Nursing Facilities to Report All Medical Directors Now

The Centers for Medicare & Medicaid Services (CMS) recently clarified that hospice and skilled nursing facility (SNF) medical directors and administrators are always considered managing employees for Medicare provider enrollment purposes. CMS is calling on all hospices and SNFs to report all current ma...
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...