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The Centers for Medicare & Medicaid Services (CMS) has issued its specialty care models final rule establishing a mandatory radiation oncology payment model.
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The Centers for Medicare & Medicaid Services (CMS) has published quarterly guidance and clarifications for the inpatient rehabilitation facility patient assessment instrument (IRF-PAI) and the long-term care hospital continuity assessment record and evaluation (LTCH CARE) data sets.
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The Centers for Medicare & Medicaid Services (CMS) has posted for public review draft specifications for the Skilled-Nursing Facility (SNF) Healthcare-Associated Infections Requiring Hospitalizations measure for the SNF Quality Reporting Program.
Overview
COVID-Specific Workers’ Compensation Presumption Law Goes Into Effect September 17
On September 17, 2020, Governor Newsom signed SB 1159 and it goes into effect immediately. This bill adopts a COVID-19 specific presumption in the workers’ compensation system for employees that test positive for COVID-19. The bill is retroactive to July 6, 2020 and expires on January 1, 2023.
The bill does four things:
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The California Department of Public Health (CDPH) has issued All Facilities Letter (AFL) 20-69, which outlines the survey activities the department will conduct for both hospitals and skilled-nursing facilities. Based on the daily COVID-19 data reported by hospitals, if CDPH determines a hospital is at risk of surging, the hospital will receive a phone call about its surge plan, any urgent needs, and whether it needs assistance from CDPH.
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The Centers for Medicare & Medicaid Services (CMS) has issued Part I of the calendar year 2022 Advance Notice of Methodological Changes for Medicare Advantage Capitation Rates and Part C and Part D Payment Policies. This proposes changes to the Part C CMS-Hierarchical Condition Categories (HCC) risk adjustment model as required by the 21st Century Cures Act, which mandates a 60-day comment period.
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Earlier this week, President Trump issued a new executive order on lowering drug prices. It directs the U.S. Health and Human Services Secretary to immediately take steps to conduct rulemaking on a model that would test limiting Medicare payments for Part B drugs to no more than a “most-favored-nation” price.
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Today, Gov. Newsom signed Senate Bill 1159, adopting a COVID-19-specific presumption in the workers’ compensation system for employees who test positive for COVID-19. The new law takes effect immediately.
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CHA is pleased to release the 2020 Consent Manual, which features updates and insights on current consent and related health care law. The manual is available free to members for download and in the CHA Manuals app. Printed copies may be purchased here.
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The Centers for Medicare & Medicaid Services issued the following update this week:
Alternative Payment Model (APM) Incentive Payment Advisory for Clinicians – Request for Current Billing Information for Qualifying APM Participants