IHCA Bulletin - 07/06/2010  (Plain Text Version)

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In this issue:
•  Change in criminal background checks
•  New from CMS
•  Be prepared: Review flood disaster plans now!
Health Care Reform
•  Federal agencies issue "Grandfather" rule
•  Seek support for Medicaid Reform
•  Resources on Medicare bundling pilot program
•  Health insurance reform and consumer protection rule released
National News
•  AHCA this week
•  Driving for Quality Care RV Tour to make Iowa stop
•  Iowa recipients of AHCA/NCAL Quality Awards
•  Iowa CNAs shine at NAHCA annual convention
•  Your programs and people are winners! Nominate them today!
Health Information Technology
•  Watch for Iowa e-Health assessment in e-mail
•  Don't be left in the dark on MDS and health care reform
•  Now's the time to get AL management certified
•  AHCA/NCAL convention early bird registration ends July 21
•  Free consumer education materials
•  Featured Associate Member


New from CMS

The latest news from the Center for Medicare and Medicaid Services on therapy services and RUG-IV.

Multiple Procedure Payment Reduction Policy (MPPR) Extended to Therapy Services
CMS posted the proposed rule for the 2011 Medicare Physician Fee Schedule on Friday, June 25, 2010. Publication in the Federal Register will be forthcoming. The rule proposes a major cut in payments for outpatient therapy services, by applying a multiple procedure payment reduction policy (MPPR). Discussion of the MPPR begins on Page 126, while the therapy discussion starts at the bottom of Page 133. CMS proposes to make full payment for the therapy service or unit with the highest practice expense value, but it would cut 50 percent from the practice expense component for the second and subsequent procedures or units of the service furnished during the same day for the same patient. For more information, see the AHCA article at the link above.

CMS Holds National Provider Call on SNF PPS RUG-IV Implementation
CMS recently held a national provider call on the implementation of Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Resource Utilization Group-Version 4 (RUG-IV). The presentation reviewed key aspects of the new SNF PPS case mix system, including RUG-IV, which will be put in place on an interim basis effective October 1, 2010. For resources, including the PowerPoint presentations by CMS and AHCA and more information, see the AHCA article at the link above.