News & Resources

Client Advisory: Therapy Contract Approaches for Skilling Nursing Facilities Under the Patient Driven Payment Model

Introduction             For over a year, skilled nursing facilities (SNFs) have prepared for the impending adoption of the Patient Driven Payment Model (PDPM) for fiscal year 2020 (beginning October 1, 2019). The adoption of the PDPM has… Read More
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Categories: Client Advisory

CLIENT ADVISORY: CMS Drops the Hammer on "Late Adopters" of Psychotropic Medication Restrictions

Over the past decade, the Centers for Medicare and Medicaid Services (CMS) has implemented numerous initiatives to expand oversight of the use of antipsychotic medications in nursing facilities (NFs). CMS takes credit for a 38.9% reduction in the use… Read More
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Categories: Client Advisory

CLIENT ADVISORY: Recent Changes to the CMS Nursing Home Compare Five Star Quality Rating System

Effective April 2019, CMS made changes in the Five Star Quality Rating System of the Nursing Home Compare website that affected all domains of the rating system. This advisory provides a brief description of these changes, how they will directly impa… Read More
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Categories: Client Advisory

CLIENT ADVISORY: CMS Regulatory Reduction Proposal for Hospitals and Other Providers

This advisory provides a brief overview of proposed revisions to current CMS regulations and their potential effect on various practices and procedure if adopted. The proposed changes would eliminate Medicare regulations identified as unnecessary, ob… Read More
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Categories: Client Advisory

CLIENT ADVISORY: CMS Seeks Comment on Proposed Policy, Payment, and Quality Changes to the Medicare Physician Fee Schedule – E/M Payment and Coding, Telehealth, Off-Campus Payment, MACRA Reporting, PTA & OTA Payments Targeted

The Centers for Medicare & Medicaid Services (CMS) seeks comment on a proposed rule published on July 27, 2018 to update payment policies and rates and quality provisions for services provided under the Medicare Physician Fee Schedule (PFS) begin… Read More
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Categories: Client Advisory

CLIENT ADVISORY: Assisted Living Facilities Classified as Type I-1 (Condition 2) Now Able to Serve More NonAmbulatory Residents

A recent guidance document published by the Virginia Department of Housing and Community Development (“DHCD”)—the “DHCD Matrix”—will allow ALFs classified as Type I-1 (Condition 2) buildings to serve a greater number of non-ambulatory res… Read More
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Categories: Client Advisory

CLIENT ADVISORY: CMS Seeking Input to Reduce Potential Stark Law Barriers to Coordinated Care

Seeking to remove unnecessary government obstacles to care coordination, the Centers for Medicare & Medicaid Services (CMS) has issued a Request for Information (RFI) to help identify aspects of the physician self-referral law (Stark Law) that ma… Read More
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Categories: Client Advisory

CLIENT ADVISORY: Understanding the New “Autonomous Practice” Option for Nurse Practitioners

The passage of Virginia General Assembly House Bill 793 (HB 793) authorized a new option for eligible nurse practitioners to practice without a practice agreement.[1] HB 793 amends Va. Code § 54.1-2957, which governs the licensure and practice of nu… Read More
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Categories: Client Advisory

CLIENT ADVISORY:  CMS Clarifies Restrictions on Text Messaging Among Health Care Providers

In a recent memo released to state survey agencies, the Centers for Medicare and Medicaid Services (CMS) clarifies standards governing texting among health care providers, including both traditional SMS text messaging and messaging through apps desig… Read More
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Categories: Client Advisory

CLIENT ADVISORY: Revised Standards for Licensed Assisted Living Facilities will Require Operational Changes

The previous Standards for Licensed Assisted Living Facilities (22VAC40-72) are being repealed and will be replaced with new comprehensive regulations (22VAC40-73).[1] The new regulations take effect on February 1, 2018, although the Department of So… Read More
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