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Skilled Nursing Facilities/Long-Term Care Open Door Forum

Overview: 

The Skilled Nursing Facilities / Long-Term Care Open Door Forum (ODF) addresses the concerns and issues of both the Medicare SNF, the Medicaid NF, and the nursing home industry generally. The types of issues that come up during this forum are often related to the Minimum Data Set, SNF Consolidated Billing, the roles and responsibilities of different SNF, NF or LTC professional staff under CMS regulations, clarifications of issues that are covered during a survey and certification process, and the many rules and requirements under which different related services can be payable. Timely announcements and clarifications regarding important rulemaking, quality program initiatives, and other related areas are also included in the forums.

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**Updated June 13, 2014 - Special Open Door Forum (ODF): Medicare Prior Authorization Initiatives, Tuesday, June 17, 2014 from 2:00pm – 3:00pm Eastern Time. This call will allow Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) suppliers, physicians, treating practitioners, ambulance suppliers and other interested parties to learn about new prior authorization initiatives recently announced by CMS.  The initiatives that will be discussed include the Medicare Expanded Prior Authorization Demonstration for Power Mobility Devices (PMDs) Demonstration, the Hyperbaric Oxygen and Repetitive Scheduled Non-Emergent Ambulance Transport prior authorization models and a new proposed rule for prior authorization for certain durable medical equipment, prosthetics, orthotics, and supplies.

Participants will not be able to ask questions on the call but we encourage participants to submit questions prior to the call to the Special ODF to: MedicareMedicalReview@cms.hhs.gov.
 

This call will be conference call only. All materials and reports for this call can be found in the Downloads section below on the full call announcement.  If you wish to participate, dial: 1-800-837-1935 & Conference ID: 41801913.  We look forward to your participation. Please see the Downloads section below for the full call announcement. Thank you for your continued interest in the CMS Open Door Forums.

**Updated June 6, 2014 - Special Open Door Forum (ODF): Long-Term Care Hospital Quality Reporting Program for Thursday, June 12, 2014 from 3:00pm – 4:30pm Eastern Time. This call will be conference call only. The purpose of this SODF is to provide updated data collection and submission information to LTCH providers for the FY 2016 and FY 2017 payment update determination. The most recent updates to the LTCHQR Program were published in the Federal Register on May 15, 2014 (Vol.79, No. 94), which is available at the following link: http://www.gpo.gov/fdsys/pkg/FR-2014-05-15/pdf/2014-10067.pdf. We will cover the data collection and reporting requirements, time frames, and submission deadlines for the FY 2016 and FY 2017 payment update determinations.  The Centers for Disease Control and Prevention (CDC) will be presenting on the measure Influenza Vaccination Coverage among Healthcare Personnel (NQF #0431), and will be present to field questions about this measure as well.  In addition to this, during the SODF, CMS will present a select number of frequently asked questions and answers related to the quality measures, data collection and submission mechanisms and invite questions and comments from stakeholders. For The PowerPoint presentation and the LTCHQR Program Manual (v 2.0) and provider training materials used for this SODF, look in the Downloads section below on the full call announcement.  If you wish to participate, dial: 1-800-837-1935 & Conference ID: 34386738.  We look forward to your participation. Please see the Downloads section below for the full call announcement. Thank you for your continued interest in the CMS Open Door Forums.