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Must Progress Reports Be Signed By The Physician

Does the Centers for Medicare and Medicaid Services (CMS) require physicians to sign and date progress reports that are written by a physical therapist, occupational therapist and/or speech-language pathologist? The answer may surprise you.

CMS does

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CMS Releases FY 2019 IRF Proposed Rule

On April 27, 2018, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2019 proposed rule for inpatient rehabilitation facilities (IRFs). This proposed rule would update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for FY 2019. As required by the Social Security Act (the Act), this proposed rule includes the classification and weighting factors for the IRF prospective payment system’s (PPS) case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2019. CMS is also proposing to alleviate administrative burden for IRFs by removing the Functional Independence Measure (FIM) instrument and associated Function Modifiers from the IRF Patient Assessment Instrument (IRF-PAI) and revising certain IRF coverage requirements to reduce the amount of required paperwork in the IRF setting. In addition, CMS is soliciting comments on removing the face-to-face requirement for rehabilitation physician visits and expanding the use of non-physician practitioners (that is, nurse practitioners and physician assistants) in meeting the IRF coverage requirements. For the IRF Quality Reporting Program (QRP), CMS is proposing to adopt a new measure removal factor, remove two measures from the IRF QRP measure set, and codify in our regulations a number of requirements.

CMS is accepting comments on this proposed rule until June 26, 2018. To access the proposed rule, click HERE. To access the IRF Fact Sheet, click HERE.

CMS Releases FY 2019 SNF Proposed Rule

On April 27, 2018, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2019 proposed rule for Part A skilled nursing facility (SNF) services. This proposed rule would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for FY 2019. This proposed rule also proposes to replace the existing case-mix classification methodology, the Resource Utilization Groups, Version IV (RUG-IV) model, with a revised case-mix methodology called the Patient-Driven Payment Model (PDPM) effective October 1, 2019. It also proposes revisions to the regulation text that describes a beneficiary’s SNF “resident” status under the consolidated billing provision and the required content of the SNF level of care certification. The proposed rule also includes proposals for the SNF Quality Reporting Program (QRP) and the Skilled Nursing Facility Value-Based Purchasing (VBP) Program that will affect Medicare payment to SNFs.

CMS is accepting comments on the proposed rule until June 26, 2018. To access the proposed rule, click HERE. To access the SNF Fact Sheet, click HERE.