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Tag: CAH

Revisions to State Operations Manual (SOM), Appendix W for CAHs

From: CMS Transmittal 138 (Pub. 100-07) – 4/7/15

Summary of Changes:

Appendix W, Survey Protocol, Regulations and Interpretive Guidance for Critical Access Hospitals (CAHs) and Swing Beds in CAHs, is being revised to reflect recent regulation changes.  We are also taking this opportunity to make clarifications and updates to existing guidance.

Read more: Revisions to State Operations Manual (SOM), Appendix W for CAHs

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Guidance on the Physician Quality Reporting System(PQRS) 2013 Reporting Year and 2015 Payment Adjustment for RHCs, FQHCs, and CAHs

From: MLN Matters SE1508 – 3/6/15

What You Need to Know

In this informational article the Center for Medicare & Medicaid Services (CMS) provides answers to some frequently asked questions raised by staff at RHCs, FQHCs, and CAHs

Guidance on the Physician Quality Reporting System(PQRS) 2013 Reporting Year and 2015 Payment Adjustment for RHCs, FQHCs, and CAHs

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Bill would remove 96-hour certification requirement for CAHs

From: AHA News – 1/7/15

Reps. Adrian Smith (R-NE), Greg Walden (R-OR), David Loebsack (D-IA) and Todd Young (R-IN) last night introduced the Critical Access Hospital Relief Act (H.R. 169), AHA-supported legislation that would remove the 96-hour physician certification requirement as a condition of payment for critical access hospitals. Medicare requires physicians to certify that patients admitted to a CAH will be discharged or transferred to another hospital within 96 hours for the CAH to receive payment for the patient’s services under Medicare Part A. The Centers for Medicare & Medicaid Services has not historically enforced the requirement, but in guidance related to its two-midnight admissions policy implied that it will, a situation that would threaten patients’ access to longer care when needed. The legislation would not remove the requirement that CAHs maintain an average annual length of stay of 96 hours, nor affect other certification requirements for hospitals.

Bill would remove 96-hour certification requirement for CAHs

 

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