Media contact: Lisa Sanders
lsanders@leadingage.org / 202-508-9407
The icon will make no distinction between abuse citations that result from intentional harm or injury to a resident and citations relating to mistakes made in carrying out a caregiving task that have an unintended result of hurting a resident. The icon will not distinguish between nursing homes that take appropriate steps to correct and report an abusive incident and homes that fail to do so. All of the nuances in these varied situations will be reduced to a red sign telling consumers, "Stop!
October 8, 2019 Washington D.C. -- Statement from Katie Smith Sloan, president and CEO of LeadingAge, the association of nonprofit providers of aging services, including skilled nursing, on CMS’ initiatives to increase transparency about abuse and neglect of nursing home residents.
While this Executive Order requires rules to be promulgated on a number of its items within the next year, changes to Medicare FFS payments are not part of this timeline. The Executive Order also does not immediately implement a change in its Medicare FFS payment policies to begin paying providers at rates similar to what Medicare Advantage (MA) plans or the commercial insurance market pay providers.
The U.S. Department of Labor (DOL) recently issued a final rule on the overtime threshold for exempt employees under the Fair Labor Standards Act (FLSA): Defining and Delimiting the Exemptions for Executive, Administrative, Professional, Outside Sales and Computer Employees (Final Rule).
Contact: Lisa Sanders
lsanders@leadingage.org 202-508-9407
September 25, 2019 Washington DC – LeadingAge, the association of nonprofit providers of aging services including skilled nursing, welcomes today’s introduction of H.R. 4468, the Nursing Home Workforce Quality Act, by Rep. Dwight Evans (D-PA) and Rep. Ron Estes (R-KS).
Here’s an overview of our work for you in September 2019.
The new Patient-Driven Payment Model (PDPM) is more complex than the previous Resource Utilization Groups (RUGs). We are pleased to offer three tools to help with financial planning and budgeting to take away some of the uncertainty with PDPM.
As a reminder, PDPM is the new payment model that CMS is implementing to shift the focus of Medicare fee-for-service reimbursement away from thresholds related to therapy provision to an emphasis on the clinical characteristics of the residents that your organization provides care to. There will be five case-mix categories, physical therapy, occupational therapy, speech-language pathology, nursing, and non-therapy ancillary. Each resident will be assessed into a group within each of the case-mi categories and that will determine Medicare Part A payment.
The calculator is based on the FY 2020 Hospice Final Rule that features the rebasing of the continuous home care (CHC), general inpatient care (GIP), and inpatient respite care (IRC) per diem payment rates as well as the elimination of the 1-year lag in the wage index. It also includes the 2% sequestration reduction that remains in effect for FY 2020.
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