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Tags Posts tagged with "Medicare Learning Network"

Medicare Learning Network

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RCPA’s Human Resources Committee met this week, and there was discussion regarding provider responsibilities for trainings for their employees and resources available to provide the needed training. We want to clarify that these requirements apply to providers of Medicare services, not Medicaid.

CMS offers an online resource – Medicare Learning Network (MLN) as a free resource to the public. One area covered in the MLN is Medicare Parts C and D Compliance and Fraud, Waste, and Abuse (FWA) Trainings. Prior to January 1, 2019, CMS required providers of Medicare services to utilize their training to meet this requirement. Beginning January 1, 2019, CMS no longer requires health care providers participating in Medicare Advantage and Part D plans to complete CMS issued training, in order to allow the training to be offered in a manner that is tailored to each organization’s operations and risks.

Providers of Medicaid Services (Waiver services are funded through Medicaid) are not mandated to provide FWA training to their employees. Although this is not a mandated training, providers may offer this training as a part of your compliance training for all staff.

For more information regarding these training requirements, please refer to the CMS website and the Compliance Program Frequently Asked Questions document. If you have any further questions, please contact Carol Ferenz.

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On December 11, 2017, the Centers for Medicare and Medicaid Services (CMS) issued Medicare Learning Network (MLN) Matters Article, SE17036, which provides information about new instructions recently issued to Medicare medical review contractors. The guidance also provides the standards to use when reviewing claims for compliance with the intensity of therapy requirements for inpatient rehabilitation facility (IRF) claims.

If you have any questions, please contact your MAC at their toll-free number, available online.

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The Centers for Medicare and Medicaid Services (CMS) recently announced a Medicare Learning Network (MLN) call that will focus on the Standardized Patient Assessment Data Collection Project. The call has been scheduled for Wednesday, March 29, 2017, from 1:30 pm to 3:00 pm EDT

During the call, information will be shared about the efforts to develop, implement, and maintain standardized Post-Acute Care (PAC) patient assessment data, including pilot testing results and plans for an upcoming national field test. Additional agenda topics include:

  • Goal of the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act);
  • Timeline of activities;
  • Alpha 1 results;
  • Alpha 2 progress;
  • Plans for beta test; and
  • How to get involved.

The IMPACT Act requires the reporting of standardized patient assessment data by PAC providers, including inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), home health agencies (HHAs), and long-term care hospitals (LTCHs).

To register for the call, please visit the MLN Registration page.

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