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Care Transitions: Billing for Transitional Care Management

December 23, 2020

A new Centers for Medicare & Medicaid Services (CMS) Condition of Participation (CoP) will require hospitals to send real-time e-notifications of any admissions, discharges or transfers (ADT) to post-acute care providers with established care relationships who need that information for treatment, care coordination or quality improvement activities. This is good news for independent physicians, who …

How to Review State-Level COVID-19 Vaccination Plans

December 10, 2020

Now that the CDC has recommended that nursing home residents and employees be among the first to receive COVID-19 vaccines, you will want to know the specifics of vaccination plans in the states your QIN-QIO supports. To help, the Kaiser Family Foundation has created a handy chart with links to the full drafts of 47 …

CMS Hospitals Without Walls Program Expands Amidst Pandemic

December 10, 2020

A new CMS Acute Hospital Care At Home program expands upon regulatory flexibilities granted to hospitals at the start of the COVID-19 pandemic. Hospitals granted CMS waivers and following screening and care protocols will be eligible to treat 60 different acute conditions in home settings that normally require inpatient hospital admission, such as asthma, congestive …

Delirium Common COVID-19 Symptom Among Elderly ED Patients

December 10, 2020

Add COVID-19 to the many conditions that can present with delirium among older adults treated in the emergency department (ED) setting. This JAMA multicenter cohort study followed more than 800 adults aged 65 and older who presented in the ED with COVID-19 at seven U.S. sites starting in March 2020. Delirium was the sixth most …

CMS Urging Nursing Homes to Follow Established COVID Guidelines This Holiday Season

November 18, 2020

In advance of the approaching holiday season, the Centers for Medicare & Medicaid Services (CMS) is urging nursing home staff, residents and visitors to follow established guidelines for visitation and adherence to the core principles of infection prevention. These guidelines include remaining six feet apart from individuals, wearing a face covering, and limiting the number …

National Rural Health Day – Celebrating the Power of Rural!

November 16, 2020

National Rural Health Day – November 19, 2020 What is National Rural Health Day? Rural communities are wonderful places to live and work, which is why an estimated 57 million people – nearly one in five Americans – call them home. These small towns, farming communities and frontier areas are places where neighbors know each …

Telligen to Provide Hospital Quality Improvement Services for the Centers for Medicare & Medicaid Services

October 21, 2020

WEST DES MOINES, IA – The Centers for Medicare & Medicaid Services (CMS) has awarded a four-year contract to Telligen to serve as a Hospital Quality Improvement Contractor (HQIC) within its Network of Quality Improvement and Innovation Contractors (NQIIC). HQICs will provide targeted quality improvement assistance to small, rural and critical access hospitals and those …

Transformative New Model of Care for Medicare Beneficiaries with Chronic Kidney Disease

October 13, 2020

CMS Announces Transformative New Model of Care for Medicare Beneficiaries with Chronic Kidney Disease The Centers for Medicare & Medicaid Services (CMS) announced it has finalized the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model, to improve or maintain the quality of care and reduce Medicare expenditures for patients with chronic kidney disease. The ETC …

CMS Updates COVID-19 Testing Methodology for Nursing Homes

October 13, 2020

On September 29, 2020, Centers for Medicare & Medicaid Services (CMS) announced an update to the methodology the agency employs to determine the rate of coronavirus disease 2019 (COVID-19) positivity in counties across the country. Counties with 20 or fewer tests over 14 days will now move to “green” in the color-coded system of assessing …

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