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NEWS | Payment & Policy Ask The Payment Expert ‘Silver Alert’ bill receives the Patricia Boyer, MSM, NHA, RN President, Boyer & Associates, LLC green light from House again By James M. Berklan develop and maintain Silver Can you tell me how to calculate my The U.S. House of Representa- Alert programs. stafﬁng to make sure I meet the tives spent little time approv- “When it comes to the safety “Five-Star” nursing home rating ing a bill that would create a of missing seniors, there is no Photo: Ofﬁce of the Congressman system objectives? national notiﬁcation system for silver bullet, but one meaning- seniors who go missing. The ful way of helping is through The Centers for Medicare & Medic- “National Silver Alert Act” the National Silver Alert,” said aid Services “Five-Star” program is (H.R. 632) passed by voice Doggett, a senior member of complex and somewhat difﬁcult to vote in early February. the House Ways and Means understand. According to the technical The passage was quickly Committee. “What's missing instructions from CMS, the stafﬁng rat- hailed by provider advocates, Rep. Lloyd Doggett (D-TX) intro- from current efforts is sufﬁ- ing is based on two case-mix adjusted i ncludi ng t he A merica n duced the latest Silver Alert bill. cient federal support—this bill measures: total nursing hours and Health Care Association/ closes that gap.” registered-nurse hours per resident National Center for Assisted broadcast information about The House passed a Sil- day. The data used is the data that you Living and the Assisted Liv- the missing person. ver Alert bill in the previous provide to the surveyors during your ing Federation of America. The measure, which was Congress, but the Senate never annual survey. Silver Alert would be a proposed by Rep. Lloyd acted on a similar proposal, The case-mix is based on the RUGs public notification system Doggett (D-TX), also would thereby killing it. III case mix system, which originated modeled after the Amber create the position of Silver About 60% of the 5 million from the time studies completed by A ler t sy ste m i nvolv i n g Alert Coordinator, which Americans currently diagnosed CMS in 1995 and 1997. We anticipate missing children. It would would be housed within the with Alzheimer'
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