Washington, D.C.—Hello, ProviderNation. Most of Washington, official and unofficial, is reveling in Pope-A-Palooza. Your Humble Correspondent devoutly wishes His Holiness could stay on, if only because his visit has created such unholy traffic that the National Staff Meeting Threat Assessment has been reduced to a mellow yellow.
(Borderline blasphemy aside, many thanks to the good people at CNN, who reminded us all that, while Pope Francis cancelled Wednesday events out of respect for Yom Kippur, the Pope is not, in fact, Jewish. News you can use.)
Parkinson: New Regs ‘Simply Too Much’
Speaking of writs from on high, AHCA/NCAL’s own Mark Parkinson has offered some thoughts on regulation. In a video to his association’s members, Parkinson urges providers to get off the bench, to remind CMS that proposals for sweeping new, “competence-based” rules “are simply too much.”
“When you add it all up, it’s just more and more regulation and nothing good for our residents,” he says.
CMS has already extended the comment period on its massive rulemaking. Parkinson and other advocates are hoping to make every second count.
Jimmo: Almost Famous
And speaking of the fine folks at AHCA/NCAL, Dan Ciolek and Mike Cheek (the “Butch Cassidy and the Sundance Kid” of that outfit) are updating folks about the status of the far-famed Jimmo case. Among their findings: The Jimmo case isn’t far-famed enough.
Recall that, under the settlement, the feds agreed to scrap the so-called “improvement standard.” It was a huge win for rehab patients and providers
Nearly half of survey respondents, for instance, said they weren’t even aware that federal regulators had engaged in a public education campaign after settling the Jimmo case in June 2013, Ciolek and Cheek report.
“Clearly, awareness and application of the Jimmo settlement are currently far from universal,” the Lads say. “There is more work to be done.”
“There is widespread agreement among respondents that further well-funded research will be key to efforts to implement the Jimmo settlement,” Ciolek and Cheek say. “Suggestions included pilot studies of maintenance care patients versus non-maintenance patients with similar code demographics, and use of home health records, as home health has had the ability to identify maintenance therapy since 2011. In addition, there is widespread concern about the understanding and application of Jimmo by Medicare administrative contractors. Many respondents also expressed concerns about the lack of clarity of guidelines for providers trying to document skilled maintenance care.”