AMRPA

AMRPA Magazine

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5/2/2013

Members Only

Letter from the Chair 3
AMRPA Legislative Update 4
Impact of “Entitlement” Program Budget Proposals on People with Disabilities 6President and MedPAC Turn Their Attention to Proposals for Post-Acute Care Bundling 8
Physician Documentation Tips 11
Highlights of President Obama’s Proposed FY 2014 Budget 12
WellSpan Tells the Story of How A Pennsylvania Man Became an Advocate for Change 16
AMRPA Award Press Release 18
Tavenner Letter of Support 19
SGR Repeal Revised Framework Comments 20
AMRPA Medical Necessity Workgroup Seeks to Assist Members in
Preventing and Responding to Audits 23
CMS Issues 2014 MA Rates, Payment Polices for Part D and Final Call Letter 24
HHS Final Rule Guarantees 100 Percent Funding For New Medicaid Beneficiaries under the ACA 25
CMS Posts 2014 Meaningful Use Eligible Hospital CQM Update 26
Clinical Quality Measures Finalized For Eligible Hospitals And Critical
Access Hospitals Beginning With Fy 2014 28
FDA Proposes New Requirement for Metal-on-Metal Hip Implants 36
Report Recommends Ways to Ensure Seamless Transitions to Medicare 38
Reps. Graves Bill Seeks To Improve Medicare Audit System 39
Medicare Participating Post-Acute Care Providers as of 2013 40
CDC Data Brief: Alzheimer’s Disease Mortality from 2000-2010 in the U.S. 42
2013 Transmittal List 45
AMRPA Membership Dues 46

4/2/2013

Members Only

Letter from the Chair 3
AMRPA Legislative Update 4
CMS’s Final Essential Health Benefits Regulation Falls Short 6
MedPAC Issues Annual March Report to Congress; Raises Need to Reform Post-acute Care Payment 8
AMRPA Members Meet Advocate for the Rehabilitation Field at Annual
Spring Executive Forum and Fly-In 12
Team Conference 14
OIG Examines Connecticut Rehabilitation Unit for Coverage Compliance 15
CBO Issues Budget and Economic Outlook Report 17
OIG Examines Connecticut Rehabilitation Unit for Coverage Compliance 18
CMS Releases Proposed Rule and Ruling on Part B Inpatient Billing in Hospitals 20
ONC Publishes Data Briefs on the Adoption of Health IT by U.S. Hospitals 22
SGR Framework Comments 25
Employees Plan to Work Longer to Keep Health Coverage, Survey Report Says 27
Medicaid Eligibility NPRM Comments 28
HHS 2013 Agenda Aims At Lowering Costs and Improving Quality of
Care and Requests Assistance on HIE Development 30
AHRQ News Corner 31
2013 Transmittal List 33
AMRPA Membership Dues 34

3/2/2013

Members Only

Letter from the Chair 3
AMRPA Legislative Update 4
RAC REPORT: New Documents Shed Light on HHS’ Fraud and Abuse Efforts 7
CMS Continues to Update IRH/U Manual Information; Claims Processing is Focus of Latest Changes 9
Outpatient Revenue Management Suggestions 11
Bundled Payments for Care Improvement Initiative Being Tested;
Hundreds of Providers Participating Including AMRPA Members 12
Report Analyzes Medicare Costs for MA Disenrollees and FFS Stayers During 2007 22
Centers for Medicare and Medicaid Services Issues FY 2011 Report on Medicare
and Medicaid Recovery Audit Programs 25
The National Quality Forum: Influencing the Medicare Quality Measure Selection Process 27
HHS Issues Final Rule Implementing Changes to HIPAA Required by HITECH Act 28
AMRPA MMR Recommendations 31
Competitive Bidding Program: Round 2 to Undergo Major Expansion This Year 34
AHRQ News Corner 36
Study Finds Tracheostomy Collars Outperforms Pressure Support in Helping Patients
Breathe On Their Own Again 38
2013 Transmittal List 39
AMRPA Membership Dues 41

2/2/2013

Members Only

Letter from the Chair 3
AMRPA Legislative Update 4
Report of the AMRPA Consumer and Clinical Affairs Task Force:
Medicare Audits, Overpayments, and Appeals: Recent Developments 7
CMS Alters State Survey Process for Hospitals Seeking to be
Inpatient Rehabilitation Hospitals and Units 10
Resolutions for 2013 11
Charting a Course for Value Innovation:
Applying Blue Ocean Strategy in a Post-Acute Setting 13
New ACOs Announced; 106 Providers Join 16
High Prevalence of Chronic Disease Is a Key Contributor
to the Growth of Medicare Costs, Researchers Report 18
RehabCare Feature 19
113th Congressional Committee Rosters 21
CMS Solicits Comments from Hospitals and Vendors
on Readiness to Report 2014 Acute Hospital Quality Data 26
NCHS Brief Shows Increase in EHR Use Among Office-Based Physicians from 2001-2012 28
Less-Experienced Physicians Spend More Money on
Patient Care than More-Experienced Physicians, RAND Reports 32
AHRQ News Corner 33
New NIH-Supported Alzheimer’s Studies to Focus on Innovative Treatments 35
2013 Transmittal List 36
AMRPA Membership Dues 37

1/2/2013

Members Only

Letter from the Chair 3
AMRPA Legislative Update 4
Report of the AMRPA Consumer and Clinical Affairs Task Force:
HHS Releases Long-Awaited Proposed Rule on Essential Health Benefits 6
New Moran Report Shows Continued Decrease in Utilization and Increase in Acuity of Rehabilitation Patients; MedPAC Figures Show Continued Stability in the Sector 8
Claims-based Reporting on Functional Status of Patients Required
Effective January 1, 2013 for Outpatient Therapy Services 12
Managing the Medicare Appeals Process 16
Think Tanks Offer Plans to Bend the Health Care Cost Curve and Seek to Protect Beneficiaries 18
States Decide Whether or Not to Establish a State-Based Health Insurance Exchange 22
Tentative 2013 Legislative Schedule 113th Congress, 1st Session 25
GAO Outlines Medicare Fraud and CMS Efforts to Reduce It 26
CMS Faces Obstacles in Overseeing the Medicare EHR Incentive Program, OIG Says 29
Plan Leaders Examine the Use of Quality Data in Addressing Health Care Disparities 31
CMS Publishes FY 2012 Improper Payment Rates and Amounts for Medicare, Medicaid, and CHIP 32
CDC Brief Examines Hospitalizations for Congestive Heart Failure in the U.S 33
2012 Transmittal List 35
AMRPA Membership Dues 37