Feb 07, 2020
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The Bottom Line

On February 5, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that updates Medicare Advantage (MA or Part C) and the Medicare prescription drug benefit (Part D) program to give seniors more choices and lower out-of-pocket costs, and to encourage price transparency. The proposed rule is another step in lowering drug costs for seniors, increasing competition, and further advancing the agency’s efforts to strengthen and modernize the popular MA and Part D programs.

Jan 31, 2020
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The Bottom Line

On November 1, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) effective on or after January 1, 2020. The rule includes an 8% cut from Medicare payments for physical and occupational therapy services starting in 2021.

Jan 24, 2020
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The Bottom Line

Seema Verma, administrator for the Centers for Medicare & Medicaid Services, sat down for a rare one-on-one interview with Kaiser Health News senior correspondent Sarah Varney.

They discussed her views on President Donald Trump’s plan for sustaining public health insurance programs, how the administration would respond if Obamacare is struck down by the courts in the future and her thoughts on how the latest “Medicare for All” proposals would affect innovation and access to care.

Jan 10, 2020
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The Bottom Line

Ideally the admission is coded as soon as possible upon admission, prior to entry of orders in the electronic medical record (EMR). This may not be a complete listing but should include diagnosis to support medications and treatments being provided to the resident.

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