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Authors Posts by Melissa Dehoff

Melissa Dehoff

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Melissa Dehoff is responsible for all medical rehabilitation and brain injury service issues. Ms. Dehoff attends multiple state-level meetings to advocate on behalf of members on brain injury and rehabilitation issues and is a member of the Department of Health Traumatic Brain Injury Advisory Board.

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Novitas Solutions has released their draft agenda for the upcoming Medicare training for RCPA’s brain injury providers. The training has been scheduled for Tuesday, May 25, 2021 from 9:00 am–3:00 pm and will be conducted via Webex. A finalized agenda and Webex link will be sent to members who will be participating in the training within the next week.

Please send an email to Melissa Dehoff by Tuesday, May 4, 2021 (noting “Medicare Training” in the subject line) to register for this training. Each organization should send one email and include the list of names and contact information (name, title, email, and telephone number) for those individuals that will be participating.

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The Centers for Medicare and Medicaid Services (CMS) has announced the date for the next hospital/quality initiative open door forum. The open door forum has been scheduled for Wednesday, April 28, 2021 from 2:00 pm–3:00 pm. Agenda topics include: fiscal year (FY) 2022 inpatient rehabilitation facility prospective payment system (IRF PPS) proposed rule overview; FY 2022 inpatient psychiatric facility (IPF) PPS proposed rule; the inpatient prospective payment system (IPPS) wage index timeline reminder; and open question and answer.

To participate in the open door forum, dial 888-455-1397 and reference passcode 8604468. Instant replay will also be available beginning one hour after the call has ended (and expires after Friday, April 30, 2021). To listen to the replay, dial 800-391-9852. No passcode is needed.

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The next Managed Long-Term Services and Supports (MLTSS) Subcommittee meeting is planned for Tuesday, May 4, 2021 via webinar from 10:00 am–1:00 pm. To participate in this meeting, registration is required. Following the completion of the registration, a confirmation email will be sent containing information about joining the webinar.

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Bids are now being accepted for the Acquired Brain Injury (ABI) and Opioid Training Request for Approval (RFA) that was posted today on the state’s eMarketplace website. The description for this RFA reads: Acquired Brain Injury and Opioid Use training for professionals who work with individuals with an ABI or opioid use problem. The duration of the program is January 1, 2022 through June 30, 2024. Bids must be submitted by May 19, 2021.

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As has been discussed in the RCPA Brain Injury Committee meetings regarding becoming Medicare certified, a full-day training has been scheduled for May 25, 2021 from 9:00 am–3:00 pm. The training will be conducted by Novitas Solutions, Inc., Medicare Administrative Contractor (MAC) for Jurisdiction L, which includes Pennsylvania.

Additional information will be shared, including the agenda, in the very near future. Please mark your calendars!

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The Centers for Medicare and Medicaid Services (CMS) has released the fiscal year (FY) 2022 inpatient rehabilitation facility prospective payment system (IRF PPS) proposed rule, along with a detailed fact sheet. The proposed rule is scheduled to be published in the Federal Register on April 12, 2021.

Some of the key provisions and proposed policy changes include:

  • Increase in net payments of 1.8 percent (or $160 million), relative to FY 2021 payments (CMS is also requesting feedback on whether FY 2019 claims data or FY 2020 claims data should be utilized to update payment rates due to the COVID-19 public health emergency).
  • Input requested on a number of potential new quality reporting program (QRP) measures.
  • Addition of a new IRF QRP measure: COVID-19 Vaccination Coverage Among Healthcare Personnel beginning in FY 2023 under the IRF QRP.
  • Revision to the data for public reporting/use on Care Compare to account for the 2020 QRP reporting waivers.
  • Outlier Threshold: CMS proposes to update the outlier threshold amount from $7,906 for FY 2021 to $9,192 for FY 2022.
  • Requesting information on revising the measure development and standardized patient ‎assessment data elements (SPADEs) collection to “address gaps in health equity in the IRF ‎QRP.”
  • Requesting information on future plans to define digital quality measures for the IRF QRP.

RCPA will review and discuss the proposed rule in the upcoming Outpatient Rehabilitation Committee and Medical Rehabilitation Committee meetings and utilize the feedback in developing comments on this proposed rule. Comments on this proposed rule are due by June 7, 2021.

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The Centers for Medicare and Medicaid Services (CMS) recently updated the list of telehealth codes to be covered under the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2021 through the end of the public health emergency (PHE). Included in this updated list are services provided by speech-language pathologists and audiologists. The entire list of all currently permitted telehealth services under the CY 2021 MPFS are located here.

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Photo by Mufid Majnun on Unsplash

The Department of Health and Human Services (HHS) Office of the Inspector General (OIG) has released a report titled “Hospitals Reported That the COVID-19 Pandemic Has Significantly Strained Health Care Delivery.” The report focuses on the continued strain that COVID-19 has placed on hospitals and their ability to deliver care to patients and provides an overview on the many challenges they are facing clinically, administratively, and financially due to the pandemic. The report also highlights problems hospitals have raised concerning COVID-19 patients who they have been unable to discharge to post-acute care facilities due to a shortage in bed capacity or because the post-acute care facility did not want to risk the further spread of COVID-19 infection.

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The National Institute on Disability, Independent Living and Rehabilitation Research (NIDILRR) recently announced the availability of funding through a grant that was posted on March 22, 2021 by the Traumatic Brain Injury (TBI) Model Systems National Data and Statistical Center. The intention of this program is to advance medical rehabilitation by increasing scientific efforts to longitudinally assess the experience of individuals living with a TBI. The deadline to apply for the funding opportunity is May 21, 2021.

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