LTCH Quality Reporting Program Requirements for FY 2014: May 15 Deadline for FY 2014 Payment Determination

Posted by Jason Greis on April 25, 2013 under Articles | Be the First to Comment

Long-Term Care Hospital (LTCH) providers should currently be engaging in two activities for the LTCH Quality Reporting (LTCHQR) Program: data submission for the FY 2014 payment update determination and data collection and submission for the FY 2015 payment update determination.  In the FY 2012 IPPS/LTCH PPS Final Rule (76 FR 51743 through 51756, and 51780 through 51781), three measures were adopted for data collection and reporting for October 1 through December 31, 2012 for the FY 2014 Payment Update Determination: Read More...

Expiration of the Long Term Care Hospital Development Moratorium: A Lasting Development Opportunity?

Posted by Jason Greis on January 5, 2013 under Articles | Be the First to Comment

Under the Medicare, Medicaid and SCHIP Extension Act of 2007 (the Act), as amended, Congress imposed an initial three-year moratorium on the establishment of new Long Term Care Hospitals (LTCH), on LTCH satellite facilities and on increases in the number of beds in existing LTCH facilities, unless an exception to the moratorium applied. This moratorium was subsequently extended for two years by the Patient Protection and Affordable Care Act (ACA).  The Centers for Medicare and Medicaid Services (CMS) recently announced, in its Final Rule updating fiscal year (FY) 2013 Medicare payment policies and rates for inpatient stays at general acute care hospitals and LTCHs that the LTCH development moratorium would expire as of Decem ber 29, 2012.  The moratorium has since sunsetted. Read More...

Summary of Long-Term Care and Post-Acute Care Provisions in the American Taxpayer Relief Act of 2012

Posted by Jason Greis on January 3, 2013 under Articles | Be the First to Comment

On Wednesday, January 2, 2013, President Obama signed into law the American Taxpayer Relief Act (Act) of 2012—the House and Senate approved bill to avert the fiscal cliff.  The Act, while raising taxes on high-income earners, also contains certain amendments to existing healthcare statutes and regulations and new regulations and programs that will effect providers and suppliers.  This article summarizes key provisions of the Act impacting long-term care and post-acute care providers. Read More...

HHS Puts Industry on Notice: OCR is Serious About HIPAA Enforcement

Posted by Jason Greis on March 2, 2011 under Articles | Be the First to Comment

On Feb. 22, 2011, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) announced that it had issued a civil money penalty (CMP) of $4.3 million against Cignet Health of Prince George’s County, MD., the first imposition of a CMP by OCR for a violation of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule. Two days later, HHS announced that General Hospital Corporation and Massachusetts General Physicians Organization, Inc., collectively referred to as Mass General, agreed to pay $1 million to settle potential violations of the HIPAA Privacy Rule. Read More...

CMS Rule Expands Long-Term Care Facility Administrators’ Responsibility to Report Facility Closures

Posted by Jason Greis on under Articles | Be the First to Comment

On February 18, 2011, the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule (Interim Rule) implementing Section 6113 of the Patient Protection and Affordable Care Act (PPACA).  The Interim Rule, which becomes effective March 23, 2011, requires administrators of long-term care facilities (LTCF), including skilled nursing facilities (SNF) eligible for reimbursement under Medicare and nursing facilities (NF) eligible for reimbursement under Medicaid, to submit prior written notification of an impending LTCF closure to the Secretary of the U.S. Department of Health and Human Services (Secretary), the state’s long-term care ombudsman and residents of the facility and their legal representatives or other responsible parties.  LTCF administrators that do not comply with the new notice requirements may face sanctions, including civil monetary penalties of up to $100,000 and exclusion from participation in Federal health care programs.  In addition, LTCFs must have related policies in place to avoid being cited for survey deficiencies. Read More...

Kindred Healthcare Announces RehabCare Group Merger

Posted by Jason Greis on February 13, 2011 under Articles, Industry News | Be the First to Comment

On February 8, 2011, Kindred Healthcare, Inc. (“Kindred”) and RehabCare Group, Inc. (“RehabCare”) jointly announced the signing of a definitive merger agreement under which Kindred will acquire RehabCare for an estimated $35 per share, which includes $26 per share in cash and 0.471 shares of Kindred common stock.  The transaction was unanimously approved by the Boards of both Kindred and RehabCare and is expected to close at the end of the second quarter, pending approval from the shareholders of both companies and receipt of antitrust approval.  Read More...