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CMS Issues Post-Acute Care Payment Proposed Rules

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What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued its proposed payment policies for inpatient rehabilitation facilities (IRFs), skilled-nursing facilities (SNFs), and hospices for federal fiscal year (FFY) 2025.  

What else to know: Comments on the proposed rules are due to CMS by 2 p.m. (PT) on May 28. 

Getting the Federal Support Hospitals Deserve 

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As California hospitals continue to face unprecedented challenges, and patients are placed at risk by the lack of state and federal support, it’s vital that every available resource be secured to ensure care can continue to be delivered for all Californians. 

CHA DataSuite Releases Analyses of IPF, SNF, and IRF PPS Final Rules

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CHA DataSuite has issued hospital-specific analyses of the federal fiscal year (FFY) 2022 final rules for the Medicare skilled-nursing facility (SNF) prospective payment system (PPS), the FFY 2022 inpatient rehabilitation facility (IRF) PPS, and the FFY 2022 inpatient psychiatric facility (IPF) PPS.

CMS Provides Updates for Post-Acute Care Quality Reporting

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The Centers for Medicare & Medicaid Services (CMS) regularly provides important updates about post-acute care quality reporting programs (QRPs), including training opportunities, public reporting, and reminders of data submission and review deadlines.  

Inpatient Rehabilitation Facilities 
QRP training
CMS will host two webinars for inpatient rehabilitation facilities (IRFs) on proper coding of Section M Skin Conditions (Pressure Ulcer/Injury) and Section N of the IRF Patient Assessment Instrument Version 2.00. Updated reporting requirements for Sections M and N became effective on Oct. 1 for IRF providers. See the IRF Quality Reporting Training web page for details.   

Long-Term Acute Care Hospitals  
Provider preview reports
CMS has informed long-term acute care hospitals (LTCHs) that previous provider preview reports for the Discharge to Community – PAC measure contained an error. Preview data released in June 2018 incorporated only seven of eight required quarters of data. Data from October through December 2016 were inadvertently omitted.

CMS has reissued the LTCH provider preview reports, and corrected reports are now available via CASPER system folders. LTCH providers have until Aug. 31 to preview the corrected data in advance of public reporting for the September 2018 LTCH Compare Refresh. 

2023 HQI and Hospital Council Annual Conference

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Join this statewide gathering of patient safety professionals and enjoy a pre-conference Leadership Summit hosted by Hospital Council Northern & Central California. The 2023 HQI and Hospital Council Annual Conference will offer three keynote addresses, four tracks of breakout sessions, and one can’t-miss opportunity to advance patient safety.

CMS Provides Updates for Post-Acute Care Quality Reporting

This post has been archived and contains information that may be out of date.

The Centers for Medicare & Medicaid Services (CMS) regularly provides important updates about post-acute care quality reporting programs, including training opportunities, public reporting details and reminders of data submission and review deadlines. Following are the recent updates for inpatient rehabilitation facilities, long-term care hospitals and hospice providers:

Inpatient Rehabilitation Facilities
Provider Preview Reports
Provider preview reports are now available for inpatient rehabilitation facilities (IRFs). IRFs have until April 5, 2018, to review their performance on quality measures based on data from quarter 3 of 2016 to quarter 2 of 2017, prior to their posting to the IRF Compare website in June 2018. Access instructions for the provider reports are available online. Corrections to the underlying data will not be permitted during this time. However, providers can request review by CMS during the preview period if they believe their data are inaccurate. 

Retention Pay Proposal Promising but Problematic

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Gov. Newsom’s proposal to provide health care workers with $933 million in retention payments represents an important step toward recognizing the invaluable contributions of California’s pandemic heroes.  

Summaries Available: FFY 2025 Post-Acute Care Payment Final Rules

This post has been archived and contains information that may be out of date.

What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued its final payment rules for inpatient rehabilitation facilities (IRFs), skilled-nursing facilities (SNFs), and hospices for federal fiscal year (FFY) 2025. CHA has issued members-only summaries of each rule.   

What else to know: In general, the payment updates were slightly higher than proposed, but still inadequate relative to input price inflation.