CMS issued three final 2019 Medicare payment rules – the Skilled Nursing Facility Prospective Payment System (SNF PPS), Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) and the Inpatient Psychiatric Facility Prospective Payment System. The pre-publication version of the FY19 SNF PPS Final Rule is available for public inspection at the Federal Register; the published version will appear in the Federal Register on August 8, 2018. NASL will prepare a detailed summary of the FY19 SNF PPS Final Rule for NASL members in the coming days. Read the pre-publication copy of the FY19 SNF PPS Final Rule, the FY19 SNF PPS Final Rule Fact Sheet, the FY19 IRF PPS Final Rule Fact Sheet, and the FY19 Psychiatric Facility PPS Final Rule Fact Sheet. (7/31/18)
CMS issued the CY2019 Medicare Physician Fee Schedule (PFS) Proposed Rule, which would take effect on or after January 1, 2019. The proposed rule updates Medicare Part B payment policies, payment rates and quality provisions for services under the Medicare PFS and is scheduled to be published in the Federal Register on July 27, 2018. The Proposed Rule includes a major change for rehab therapy providers, and one that NASL has advocated. CMS is eliminating the collection of functional reporting. (7/12/18)
- Read the pre-publication version of the proposed rule entitle, Medicare Program: Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; etc.
- Read CMS’ press release
- Read CMS’ fact sheet
NASL submitted comments today to CMS in response to CMS’ FY 2019 SNF PPS Notice of Proposed Rulemaking (NPRM). The focus of NASL's comments surrounded the newly proposed Patient-Driven Payment Model (PDPM) and answering the Request for Information on interoperability. A copy of NASL’s comment letter can be accessed here. (6/26/18)
CMS Demos Newly Launched Data Element Library (DEL) at this week's LTPAC Health IT Summit. NASL and our colleagues with the LTPAC Health IT Collaborative are meeting with CMS and its contractors who developed the DEL during the Summit. The interactive demonstration helped to kick off a discussion about the strategic direction for the DEL, CMS' Internet Quality Improvement and Evaluation System (iQIES) and approaches for leveraging the health IT vocabulary codes available in the DEL and future enhancements to the DEL. View CMS' Data Element Library; read CMS' Fact Sheet on the DEL. (6/25/18)
The Medicare Payment Advisory Committee (MedPAC) submitted its June 2018 Report to Congress: Medicare and the Health Care Delivery System. This month’s report included MedPAC’s refinements to the unified PAC PPS. A summary was distributed to NASL members on June 25. (6/15/18)
CMS announced Skilled Nursing Facility (SNF), Long Term Care Hospital (LTCH) and Inpatient Rehabilitation Facility (IRF) Provider Preview Reports have been updated. Providers may preview their performance data from now until June 30, 2018, before the reports are publicly displayed on the Nursing Home Compare, LTCH Compare and IRF Compare sites respectively. Read more on CMS.gov under the Quality Reporting Spotlight Announcements for LTCHs, IRFs and SNFs. (6/1/18)
CMS released an interim final rule that will increase pay for durable medical equipment provided in rural and other areas not covered by the competitive bidding program from June through the end of the year, and CMS says more rules are planned on rates for DME and enteral nutrition in 2019 and beyond. The rule also excludes from the bidding program certain drugs used with DME. (5/9/18)
NASL submitted comments to CMS on the IMPACT Act Transfer of Health Information & Care Preferences - Medication Profile Transferred Draft Measure. The draft measure is being reviewed and will not be implemented this October as originally planned. Read NASL's comments. (5/3/18)
CMS released three (SNF, IRF, LTCH PPS) proposed rules this week, to include:
NASL members may download a short summary of the proposed rules here. (4/27/18)
Myths busted! SNF therapy is a great place for debunking persistent misconceptions and lore. NASL and its members are featured in a McKnight's article about NASL's "Top 100 Medicare Therapy Myths in Skilled Nursing & Home Health” resource. (McKnight's, 04/08/18).