NPA Comments on CMS Advance
Notice of Methodological Changes
The National PACE Association (NPA) responded to a request for comment by the Centers for Medicare & Medicaid Services (CMS) on the Advance Notice of Methodological Changes for Calendar Year (CY) 2015 for Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies and 2015 Call Letter.
In its comment letter on March 7, NPA addressed the following issues: Medicare Advantage Growth Rate, Normalization Factor, CMS-HCC Risk Adjustment Model, Frailty Factor, and Medicare Advantage Enrollee Risk Assessments.
NPA also recommended that CMS include diagnoses associated with in-home services to PACE® participants as part of the risk adjustment system for PACE organizations and develop a new enrollee risk factor methodology that reflects the high acuity of enrollees in PACE organizations who are exclusively nursing home level of care.
Read the full comment letter.
Register Now for IDT Course
The next session of the online course “Interdisciplinary Teams in PACE,” offered by NPA in conjunction with Rush University, will run from March 24 through May 30.
The course consists of six modules focused on various aspects of inter-professional teamwork and participant care. There is also a course for preceptors, for whom course enrollment is free.
Seven disciplines are eligible for continuing education credits: nursing, social work, occupational therapy, physical therapy, speech-language pathology, psychology and dietetics. CMEs are available for physicians.
For more information, visit the Educational Opportunities section or contact Venise Lewis or Stan Lapidos.
NPA Will Host Spring Policy Forum
NPA will hold its 2014 Spring Policy Forum April 7-9 at the Omni Shoreham Hotel in Washington, DC. During the three-day event, attendees will learn about the latest policy issues affecting PACE® organizations.
The first two days will include sessions on federal policy, state policy initiatives, regulatory and payment issues, and other topics relevant to PACE organizations. Invited speakers include elected officials, policy-makers, thought leaders and other influential voices.
On the third day attendees will travel to Capitol Hill to meet with their representatives and senators to promote the NPA policy agenda.
For more information, visit the Educational Opportunities section or contact Venise Lewis or Kasey Skeen.
ICD-10 Deadline Is Oct. 1
Beginning Oct. 1, the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) will replace the ICD-9 code sets used to report medical diagnoses and inpatient procedures, according to the Health Plan Management System (HPMS) of CMS.
In preparation for this change, CMS has released preliminary mappings of ICD-10 codes to the hierarchical condition categories (HCCs) used in the risk adjustment models used to pay Medicare Advantage (MA) organizations, PACE® organizations and Part D sponsors. The mappings can be found on the CMS website.
When the FY 2015 ICD-10 codes become available, CMS will release updated mappings.