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Health Care Paradox: Medicare Penalizes Dozens of Hospitals It Also Gives Five Stars

KHN

The penalties — a 1% reduction in Medicare payments over 12 months — are based on the experiences of Medicare patients discharged from the hospital between July 2018 and the end of 2019, before the pandemic began in earnest. Paradoxically, all those hospitals have five stars, the best rating, on Medicare’s Care Compare website.

Medicare 136
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‘We Will Be Paying For This For Years’: 8 Home Health C-Suite Leaders Sound Off On ‘Alarming’ Medicare Cuts

Home Health Care

Centers for Medicare & Medicaid Services (CMS) published its home health proposed payment rule for 2024. This rewards agencies that have not invested in quality improvement programs, penalizes those that have, and makes it harder to set goals, measure progress and make any needed course corrections. — Cleamon Moorer Jr.,

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Coming Soon: 2023 CMS Health Equity Confidential Feedback Reports to be Released Next Month

Briggs Healthcare

CMS will release the Health Equity Confidential Feedback Reports through the Internet Quality Improvement & Evaluation System (iQIES) reports folders. The PAC Health Equity Confidential Feedback Reports will stratify the DTC and MSPB measures by dual-enrollment status and race/ethnicity.

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Updated Provider Demographic Update Instructions

Briggs Healthcare

The updated CMS 855A form must be sent by the Medicare Administrative Contractors (MACs) to the appropriate State Agency rather than to the CMS Location. These demographic data include such items as the provider name, provider-mailing address, provider physical address, State, ZIP Code, etc.

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Health Care Paradox: Medicare Penalizes Dozens of Hospitals It Also Gives Five Stars

KHN

The penalties — a 1% reduction in Medicare payments over 12 months — are based on the experiences of Medicare patients discharged from the hospital between July 2018 and the end of 2019, before the pandemic began in earnest. Paradoxically, all those hospitals have five stars, the best rating, on Medicare’s Care Compare website.

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SNF/IRF/LTCH QRP May 15, 2023 Submission Deadline Reminder

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The submission deadline for the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) Quality Reporting Programs is approaching.

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IRF/LTCH/SNF QRP February 15, 2023 Submission Deadline Reminder

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The submission deadline for the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) Quality Reporting Programs is approaching.