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CMS releases SNF 2018 proposed payment rule

The Centers for Medicare and Medicaid Services (CMS) has released the federal fiscal year (FFY) 2018 proposed payment rule for the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). The proposed rule reflects the annual updates to the Medicare fee-for-service (FFS) SNF payment rates and policies. CMS also issued an advance notice of proposed rule-making (ANPRM) to solicit public comments on potential options for revising the SNF PPS payment methodology.

Click here for SDAHO’s brief of the proposed rule.

A copy of the proposed rule in the Federal Register (FR) and other resources related to the SNF PPS are available on the CMS website at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/index.html.

An online version of the proposed rule is available at https://federalregister.gov/a/2017-08521.

The ANPRM is available at https://federalregister.gov/a/2017-08519.

Program changes proposed by CMS will be effective for discharges on or after Oct. 1, 2017, unless otherwise noted. Comments on the proposed rule and ANPRM are due to CMS by June 26, 2017 and can be submitted electronically at https://www.regulations.gov by using the website’s search feature to search for file codes “1679-P” and “1686-ANPRM” respectively.

SDAHO will be sending out the SNF analysis later this week. The analysis is intended to show members how Medicare fee-for-service (FFS) payments would change from FFY 2017 to FFY 2018 based on the policies recommended in the FFY 2018 IRF proposed rule.

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15jun12:00 pm2:00 pmEMTALA 2 Part Series2-Part Series12:00 pm - 2:00 pm Event Type :Education Events,Webinar

15jun3:00 pm4:00 pmCovid's Impact on Trust in Health CareWebinar3:00 pm - 4:00 pm Event Type :Webinar

16jun10:00 am12:00 pmSDAHO District II Summer MeetingWebster, SD10:00 am - 12:00 pm Event Type :District Meeting

16jun1:00 pm2:00 pmMedical Marijuana and SD Department of HealthWebinar1:00 pm - 2:00 pm Event Type :Education Events,Webinar

17jun12:30 pm1:30 pmEmbracing High Reliability to Build Our New NormalWebinar Series12:30 pm - 1:30 pm Event Type :Education Events,Webinar

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June 15 at Noon - 2pm CST

This program will cover the following (Part 1 of 2):

  • OIG changes that every hospital should be aware of
  • Two-day visit with immediate jeopardy
  • Common deficiency report by CMS
  • Basic concept of EMTALA
  • Revised manual
  • New survey memos
  • How to locate copy of the EMTALA regulations
  • OCR memo and EMTALA investigations
  • OIG advisory opinions on EMTALA
  • Compliance program
  • CMS Survey memos regarding EMTALA
  • Impact of COVID-19 on EMTALA
  • EMTALA definitions and requirements
  • The Joint Commission standards
  • EMTALA sign requirements
  • To whom EMTALA applies
  • Reasonable registration process
  • Financial questions from patients
  • Patients who sign out AMA
  • Specialized capability
  • Policies and procedures required
  • Hospital recommendations

 

July 20 at Noon to 2pm CST

This program will cover the following (Part 2 of 2):

  • On-call physician issues
  • Dedicated emergency department
  • Central log
  • Special responsibilities
  • Meaning of “comes to the ED”
  • Definition of hospital property
  • EMTALA and outpatients
  • Capacity
  • Dedicated emergency department
  • Inpatients and observation patients
  • Medical screening exam
  • Certification of false labor
  • Born alive law and EMTALA
  • Minor child request for treatment
  • Telemetry
  • When diversion is allowed
  • Parking of patients
  • Helipad
  • State plans and EMTALA
  • Who can be a QMP
  • Waiver of sanctions
  • Requests for medications
  • Blood alcohol tests
  • Emergency medical condition
  • Stabilization
  • OB patients
  • Born-Alive Infant Protection Act and MLN clarification
  • Transfer and transfer forms
  • Behavioral health patients
  • QIO role with EMTALA