Congressional Senior Advocate re-introduces bill
Congressman Jim Renacci (R-OH) has reintroduced the Creating Access to Rehabilitation for Every Senior (CARES) Act of 2015 (H.R. 290). The legislation eliminates the three-day inpatient stay requirement currently required by the Medicare program.
This bill was originally introduced in 2013, but was tabled until more study could be done. The facility that cared for the resident would have to meet certain criteria in order to have the 3 day stay waived. Those criteria will be guided by the criteria set on CMS' Nursing Home Compare website.
Important Announcement of Upcoming Changes to Medicare Case Review
Upcoming changes to the Medicare Quality Improvement Organization (QIO) program will directly impact Medicare case review and appeals beginning August 1, 2014.
The Centers for Medicare & Medicaid Services (CMS) has restructured the QIO Program from its historical 53 contracts (in which each QIO performs both case review and quality improvement support for each state or territory) to a regional structure for case review and an industry-determined service structure for quality improvement initiatives.
Quality Insights will continue to provide case review and appeals through July 31. If your case is currently under review or in process, please be assured that every effort has been made to ensure a seamless transition for Medicare beneficiaries with no disruption in case review services.