With us today is Reg Hislop. Reg is a healthcare executive, consultant, and managing Partner at H2 Healthcare, LLC a full-service advisory firm specializing in health care and the post-acute care industry.
CMS is excepting certain requirements to enable freestanding inpatient rehabilitation facilities to accept patients from acute-care hospitals experiencing a surge, even if the patients do not require rehabilitation care. This makes use of available beds in freestanding inpatient rehabilitation facilities and helps acute-care hospitals to make room for COVID-19 patients.
On April 26, the Centers for Medicare & Medicaid Services (CMS) announced that it is reevaluating the amounts that will be paid under its Accelerated Payment Program and suspending its Advance Payment Program to Part B suppliers effective immediately. The agency made this announcement following the successful payment of over $100 billion to health care providers and suppliers through these programs and in light of the $175 billion recently appropriated for health care provider relief payments.
The quality measure with the most impact on revenue is clearly rehospitalization rates. With SNFVBP, SNFQRP, and the Five-Star Rating System directly or indirectly impacting reimbursement, the one measure all three of these CMS reporting programs have in common is rehospitalizations. Whether it is an all-cause all-condition, or a potentially preventable calculation, rehospitalizations can make a big difference to your bottom line. Restorative nursing programs (RNP) can help.
CMS announced that Medicare will now cover any medically necessary ambulance ride for individuals with COVID-19 from any origin to any destination equipped to treat the patient’s condition. Acceptable destinations include, but are not limited to:
The Trump Administration has suspended regulatory barriers and will now allow hospitals to clear precious bed capacity by triaging non-COVID-19 patients in thousands of ambulatory surgery centers, rehab hospitals, and even hotels and college dorms.
CMS is delaying the Minimum Data Set (MDS) 3.0 v1.18.1 release, which had been scheduled for October 1, 2020, in response to stakeholder concerns. The MDS item sets are used by Nursing Home and Swing Bed providers to collect and submit patient data to CMS. This MDS data informs payment, quality, and the survey process.