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Measure Applications Partnership, Coordinating Committee Conference Call Today

We have received information from NAHC regarding the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act of 2014), which was passed on September 18, 2014. The IMPACT Act states that the Secretary shall require the submission of standardized clinical assessment data (with domains as specified) using assessment submitted to CMS by Long-Term Care Hospitals (LTCH), Skilled Nursing Facilities (SNF), Home Health Agencies (HHA) and Inpatient Rehabilitation Facilities (IRF). It further requires the submission of standardized data using such assessments for use the quality measures for which the Act specifies five domains. It also requires that standardized data be submitted on measures related to resource use, and other categories.

In order for CMS to meet the statutory timeline for standardized quality and resource measure reporting across PAC providers by 2017, they are on a fast tract and will be using the following criteria in selecting measures:

  • Address a current area for improvement
  • Consider  measures in place in post-acute care quality reporting programs,   and are:
    • already endorsed and in place,
    • finalized for use
    • already previewed by the National Quality Forum(NQF), Measure Applications
    • Partnership (MAP)
    • Minimize burden

Following are the first four measures that have been selected and submitted to NQF, MAP:

  • Functional status, cognitive function, and changes in function and cognitive function
    • Percent of patients/residents with an admission and discharge functional assessment and a care plan that addresses function
  • Skin integrity and changes in skin integrity
    • Percent of Residents or Patients with Pressure Ulcers That Are New or Worsened
  • Incidence of major falls
    • Percent of Residents Experiencing One or More Falls with Major Injury (NQF
  • Measures to reflect all-condition risk-adjusted potentially preventable hospital readmission rates that are currently collected by each PAC provider

These four cross-cutting measures are going to be discussed and voted on TODAY, February 27th, from Noon to 2 pm ET on a meeting of the MAP Coordinating Committee that will be held via conference call. The call (and the information to be discussed on the call) is open to the public.  See call information below.

Measure Applications Partnership,Coordinating Committee Conference Call

February 27, 2015 12:00 PM – 2:00 PM ET


  • Public Participants: Dial (855) 499-0963; no conference ID required.

**Click here to access meeting materials


*Information above provided by NAHC.

NAHC: MedPAC Discusses Inclusion Of Hospice In Post-Hospital “Transfer” Policy

The Medicare Payment Advisory (MedPAC) has recently been examining concerns related to hospitals’ increased use of “observation status” in response to Recovery Audit Contractors (RAC) reviews of appropriateness of use of short-term inpatient stays. MedPAC plans to develop new recommendations to ease tensions between hospitals and RACs relative to short-stay hospital admission policies. MedPAC is also looking at policies that would yield savings to offset the cost of the recommendations. One option is to include hospice in the post-acute hospital transfer policy. MedPAC estimates that hospitals currently have an 88 percent financial margin on patients that are discharged “early” to hospice. If a post-hospital transfer policy were to be applied to early discharges to hospice, MedPAC estimates that hospital financial margins on short-stay patients discharged to hospital would be about 31 percent.  NAHC has expressed concerns regarding the inclusion of hospice in the post-acute hospital transfer policy and believe it could have a negative impact on hospice patients and the Medicare program.

NAHC is seeking input from its hospice member organizations on this issue. If you have comments about the potential impact that inclusion of hospice in Medicare’s post-acute transfer policy could have on hospices, their patients, or the Medicare program generally, please email to NAHC by COB March 3, 2015.  

Click here for more information from NAHC, including contact information.

Report: Healthcare System Fully Prepared To Handle Increased Coverage

According to a new report from The Commonwealth Fund, increased insurance coverage under the Affordable Care Act is unlikely to overwhelm healthcare services despite earlier research indicating the contrary. The report found that outpatient and inpatient hospital visits will increase by about 2.5 and 3 percent nationwide and that prescription medication use and refills will rise 2.5 percent in nearly every state. Despite these increases, the healthcare system is “likely to be able to absorb these increases.” Additionally, widespread adoption of technological advances is likely to further blunt the impact of increased use of services.

Click here to see the report.

Click here to read more.

Outsource Training to Transfer Knowledge

Take a look at our latest TCG CHEX eLearning blog post – Outsource Training to Transfer Knowledge – to learn more about an article covering recent trends in the utilization of outside education for staff.

While you are there, don’t forget to use the calculator to estimate the financial savings your organization could see when you implement TCG CHEX eLearning for your staff education!

TCG Webinar: Home Health Billing Essentials

Date: Tuesday, June 14, 2011

Time: 10 am PT/12 pm CT/1 pm ET

Presented by:
M. Aaron Little, BS, CPA
Senior Managing Consultant
BKD National Health Care Group

Medicare home health PPS refinements have significantly complicated the billing process. Other issues such as the face-to-face encounter and therapy changes have influenced billing practices.
This webinar will provide strategies for drilling into the details of your billing processes, and participants will take away valuable insights on available industry resources and processes
that can be implemented to help optimize efficiencies.

Features and Benefits:

After attending this webinar, the participant will be able to:

  • List typical Medicare home health billing challenges.
  • Apply suggested key billing performance measures.
  • Identify effective and efficient process management tools.

CEs available!

Click Here to Learn More

TCG Webinar: Building a Manageable Corporate Compliance Program

Date: Tuesday, June 7, 2011

Time: 10 am PT/12 pm CT/1 pm ET

Presented by:
Deborah A. Randall, Esq.
Healthcare, Compliance and Telehealth Legal and Consulting Services

In 1998 for home health agencies and in 1999 for hospices, the OIG issued guidance for compliance programs. This webinar will discuss the OIG guidance and what an organization can do implement a “manageable” corporate compliance plan and make it a part of the corporate culture.

Features and Benefits:

After attending this webinar, the participant will be able to:

  • Identify the seven elements that should be included in a comprehensive compliance program
  • Understand the necessity of a risk assessment as part of the plan to identify agency vulnerabilities
  • Develop the required policies and procedures and communicate them to staff

CEs available!

Click Here to Learn More