According to reports, the 2017 Texas regular legislative session made vast changes affecting older Texans. Lawmakers approved several top priorities for AARP Texas including bills that, among other things, will protect seniors’ financial future, improve access to health care, and help unpaid family caregivers and their families.Also included was major nursing home quality reforms that seek to hold operators of nursing homes and other long-term care facilities more accountable when they have been … [Read more...] about Texas lawmakers approve major nursing home quality reforms
Physician’s duties increasingly reduced by nurses, long-term care providers for chronically ill
According to news reports a shifting role of physicians is expected to accelerate in the coming decades. Healthcare providers work as a team with health specialist usually overseeing various aspects of a patients care including symptoms and medical history, orders for tests and services, prescriptions, etc. At the end of the pre-screening by healthcare providers, a physician is left with the final assessment and the plan—the medical decisions and diagnosis. some doctors are said to be opting … [Read more...] about Physician’s duties increasingly reduced by nurses, long-term care providers for chronically ill
Requesting Durable Medical Equipment and Customized Manual Wheelchairs through the Preadmission Screening and Resident Review Program
Information Letter No. 17-22The purpose of this letter is to notify nursing facility (NF) providers of the requirements for requesting durable medical equipment (DME) and customized manual wheelchairs (CMWC) through the Preadmission Screening and Resident Review (PASRR) program.In accordance with Title 40, Part 1, Texas Administrative Code §19.2754(a), relating to Requesting Authorization to Provide Durable Medical Equipment and Customized Manual Wheelchairs, when a NF identifies a PASRR … [Read more...] about Requesting Durable Medical Equipment and Customized Manual Wheelchairs through the Preadmission Screening and Resident Review Program
Procedural Requirements for Requesting Additional Medicaid Beds through an Exemption
Provider Letter 2017-30 Addressed to Nursing facilities. DADS reports that to qualify for a high occupancy rate exemption and receive an allocation of additional Medicaid beds when it has high occupancy rates, a NF must demonstrate that it has had an occupancy rate of at least 90 percent for nine of the 12 months prior to the application. A NF may not rely on data for any month before a previous increase. See the provider letter for more details. Medicaid Bed Allocation Requirements for high … [Read more...] about Procedural Requirements for Requesting Additional Medicaid Beds through an Exemption
Telemedicine Rules Released To Affect 28 million patients in Texas
Healthcare providers in the State of Texas will have to review the new Telemedicine Rules released this month by the Texas Medical Board. The new rules are reported to eliminate a few obstacles doctors faced in utilizing telemedicine to treat patients and mark the final barriers in a years-long battle to loosen restrictive telehealth rules in the Texas. According to reports, the proposed rules eliminate the provisions that a "patient site telepresenter" must be available for patients being … [Read more...] about Telemedicine Rules Released To Affect 28 million patients in Texas
Billing for Preadmission Screening and Resident Review Assessments and Services
Information Letter No. 17-20 - Addressed to Nursing Facility Providers on how to bill for Therapies, Customized Manual Wheel Chairs (CMWC) and Durable Medical Equipment (DME) reimbursed through the Preadmission Screening and Resident Review (PASRR) program at HHSC. Nursing facility providers must review the resident’s Medicaid Eligibility and Service Authorization Verification (MESAV) to verify a service authorization has beencreated and to determine which service code was used. Nursing facility … [Read more...] about Billing for Preadmission Screening and Resident Review Assessments and Services
Hospice Care Website lists 777 Hospice Agencies in Texas
For terminally ill patients and their loved ones, finding the right Hospice care can be a daunting decision. Options for quality and strength of the facility providing end-of-life care in the Texas depends on the hospice chosen, according to data released from Medicare data released by Centers for Medicare and Medicaid Services. (CMMS). Now available to the public, the “Hospice Compare” website — at medicare.gov/hospicecompare — displays information on almost 3,900 hospices nationwide.The … [Read more...] about Hospice Care Website lists 777 Hospice Agencies in Texas
CMS, HHS Roll out Emergency Efforts Help Texas and Louisiana with Hurricane Harvey Recovery
According to reports Hurricane Harvey 25 dumped trillions of gallons of water which required evacuation of thousands of residents from over 95 nursing centers and assisted living communities in Texas. A public health emergencies has been declared in both Texas and Louisana and healthcare providers are temporarily waiving or modifying certain Medicare, Medicaid and Children’s Health Insurance Program (CHIP) requirements to provide immediate relief to hurricane Harvey’s victims in flood devastated … [Read more...] about CMS, HHS Roll out Emergency Efforts Help Texas and Louisiana with Hurricane Harvey Recovery
Major Health Groups Chime in on Medicare Access and CHIP Reauthorization Act (MACRA) Payment System
MACRA now in its first year of implementation in 2017, has established a new framework for physician payment focused on quality and value using two distinct payment paths. The Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP) includes the following pathways: the Merit-Based Incentive Payment System (MIPS) and the Alternative Payment Model (APM) Incentive program. MACRA replaced the Sustainable Growth Rate (SGR) formula that gave the ability to determine Medicare … [Read more...] about Major Health Groups Chime in on Medicare Access and CHIP Reauthorization Act (MACRA) Payment System
When Dying is Profitable. Practice of Hospice patients being discharged before death linked to higher profits for facilities
In the past years, there has been a major increase in for-profit hospices and according to a study published last month in the journal Health Affairs titled: “A Positive Association Between Hospice Profit Margin And The Rate At Which Patients Are Discharged Before Death.” The study was researched from a sample of 1,439 freestanding hospices, as well as for-profit, chain-owned and nonprofit facilities, and their live discharge rates. The report found that live discharge rate rose from 2000 t0 … [Read more...] about When Dying is Profitable. Practice of Hospice patients being discharged before death linked to higher profits for facilities
