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Call for Action: POS 31 POS 32 - Grassroots Advocacy Outreach

by Michael Waserman, MD, CMD

We have an immediate advocacy opportunity available for our members. Reach out to your Congressional representatives and ask them to contact CMS to reverse this mistake, lest we further discourage physicians from practicing in nursing homes.

Based on a mistaken assumption, CMS has created a rule that leads to physician’s billing for services delivered to residents receiving skilled Part A care (POS 31) will be reimbursed at a lower rate than identical services delivered to custodial residents (POS 32).

Two individuals in the same nursing home, even in the same room, receiving the same evaluation and management service from the same clinician, may generate different reimbursement solely because one is classified under Part A and the other is not.

PALTmed has sent a letter to CMS that included the following:

“I work for an independent doctor group, and I have seen many patients in both a SNF (POS 31) and NF (POS 32) and have had to bring the same equipment including my own stethoscope, laptop, and other supplies needed to deliver care. In many cases, the POS designation is not known to the practitioner providing the care as this is handled by the facility”.

This real-world example underscores the core issue: practice expense remains the same whether the clinician sees a patient in POS 31 or POS 32, and the POS designation is handled administratively by the facility and may not even be known to the practitioner at the time of service. The patient may remain in the same bed, under the care of the same physician, with identical equipment, staff support, and documentation requirements. Yet payment changes solely based on certification status. The physician’s overhead and indirect costs do not change. To even determine this can actually significantly increase administrative burden as well and many electronic medical records are not well equipped to manage this in real time to ensure billing accuracy.

We encourage our members to reach out immediately to their congressional representatives, asking them to contact CMS and have this mistaken rule rescinded.

Link(s) for further reading:
 
CALTCM Honor Roll: California CMD's
CALTCM Honor Roll
California Certified Medical Directors
Congratulations to California’s Certified Medical Directors on achieving certification status! Your commitment to leadership, excellence, and high-quality care in post-acute and long-term care is truly commendable. This accomplishment reflects your dedication to advancing the field and improving outcomes for the patients and communities you serve.
 
Wilfredo   Abesamis MD, CMD
Aret   Akian MD, CMD
Rabi U. Alam MD, CMD
Nadia   Ali MD, CMD
Peter   Aline MD, CMD
Amir   Aljilani MD, CMD
Kathryn M. Amacher DO, CMD
Mark   Aminzadeh MD, CMD
Bala   Annadurai MD, CMD
Anousheh   Ashouri MD, CMD
Saro   Avakian MD, CMD
Matthew Joel Awerbuck MD, CMD
Etsegenet T. Ayele MD, CMD
Welim S. Azinge MD, CMD
Pranav Rajendra Barve MD, CMD
Hany Gaber Bashandy MD, CMD
Amit   Bawa MD, CMD
Shaida   Behnam MD, CMD
Ashwani   Bhardwaj MD, CMD
Shivani   Bhutani MD, CMD
Jeffrey   Bourne DO, CMD
Karanbir   Brar MD, CMD
Brittany   Brinley DO, CMD
Michelle Marie Brooks MD, CMD
Robert L. Buckingham MD, CMD
Sara   Bughio MD, CMD
Christopher   Bui MD, FAAHPM, HMDC, CMD
John   Campbell MD, CMD
Luanne   Carlson DO, CMD
Arinder   Chadha MD, MBA, FACP, CMD
Alexander Y. Chan MD, CMD, MS
Pushkar   Chand MD, CMD
Smita   Chandra MD, CMD
Alan   Chang MD, CMD
Alvin   Chang MD, MBA, CMD
Angel   Chang MD, CMD
Chandan D.S. Cheema MD, CMD
Can   Chen MD, CMD
Tsung-Chang C. Chen MD, PhD, CMD
Kristoffer Tolentino Chin DO, MPH, MS, CMD
Dominic   Chiong MD, CMD
Daniel F. Chueh MD, CMD
Brian   Clifford MD, CMD
Howard B. Cohen DO, CMD
Heather   D'Adamo MD, CMD
Talin   Dadoyan MD, CMD
David T. Dang MD, CMD
Benjamin   Dardashti MD, CMD
Gaurav   Datta MD, CMD
Timothy   Dauwalder DO, CMD
Jessica   Davidson MD, CMD
Tyler   De Jong MD, CMD
Katrina   DeLeon MD, CMD
Edmond   Derderian MD, CMD
Karthikeya   Devireddy MD, CMD
Rekha   Dharmaji MD, CMD
Naveen Kumar Dhiman CMD
Gurpreet S. Dhugga MD, CMD
Loraine   Diego MD, CMD
Vasili   Dzerhachou DO, CMD
Roshanak   Eftekhari MD, CMD
Hamid   Eskandari MD, CMD
Manuel A. Eskildsen MD, MPH, CMD
Michelle S. Eslami MD, FACP, CMD
Todd   Farrer MD, CMD
Larry Reynolds Feliciano MD, FAAFP, HMDC, CMD
Rebecca L. Ferrini MD, MPH, CMD
Marcel S. Filart MD, CMD
Melissa A. Frederick MD, CMD
Charles A. Garretson MD, CMD
Jared   Garrison DO, CMD
Mary Christina Gessner DO, CMD
Azmy F. Ghaly MD, CMD
Arbi   Ghazarian MD, CMD
Shankar Prasad Ghimire MD, CMD
Michael   Ghods MD, CMD
Subrato   Ghosh MD, CMD
Timothy L. Gieseke MD, CMD
Gordon A. Glasgow MD, CMD
Sienna   Go MD, CMD
Sepehr   Golboo MD, CMD
Michael   Goldrich MD, CMD
Lawrence Bruce Greenberg MD, CMD
David A. Greene MD, CMD
Jeremy I. Grosser MD, CMD
Stephen M. Grossman MD, CMD
Anil   Gupta MD, CMD
Neelam   Gupta MD, CMD
Huan   Guu MD, CMD
Jean-Claude   Hage MD, CMD
Jennifer   Haggerty MD, CMD
Mehdi   Hakimipour MD, CMD
Laila   Hanna MD, CMD
Michael   Harper MD, CMD
Abbas   Hasnain MD, JD, CMD
Theresa C. Henderson CMD
Rick   Hirsch DO, CMD
Samvel   Hmayakyan MD, CMD
John D. Homan MD, CMD
Jameel   Hourani DO, CMD
Yu-Nan   Hsu DO, CMD
Jennifer   Hubert DO, CMD
Yusra N. Hussain MD, CMD
Phuc T. Huynh DO, CMD
Uyenchi   Huynh MD, CMD
Yousef W. Ireifej MD, CMD
Ousama   Ismael MD, CMD
Ashit   Jain MD, CMD
Mehran   Jamali MD, CMD
Elizabeth   Jensen DO, CMD
Harpreet   Johl MD, CMD
William Y. Josephson MD, CMD
Caesar O. Julian MD, CMD
Ahmad   Kabakibi MD, CMD
Jigar   Kadakia MD, CMD
Mushrik   Kaisey MD, FACP, CMD
Steven D. Kamajian DO, CMD
Garo   Karakashian MD, CMD
Mary Nikoula Kasem MD, FAAFP, CMD
Mustafa Michael Kazemi MD, CMD
Kamal   Kejriwal MD, CMD, AGSF
Dean   Kelaita MD, CMD, MPH
Charles A. Kellerman MD, CMD
Shahid Nadeem Khan MD, CMD
Sanjay N. Khedia MD, CMD
Sri Vardhan   Kooturu MD, CMD
Doddanna   Krishna MD, CMD
Mark   Kubik MD, CMD
Ashwani   Kumar MD, CMD
Munish   Kumar MD, CMD
Mark   Kyle MD, CMD
Albert   Lam MD, CMD
Mikael   Langner MD, CMD
Chinh D. Le MD, CMD
Emmet W. Lee MD, CMD
Gary T. Lee MD, CMD
Susan D. Leonard MD, CMD
Chao-Ming Charles Lin MD, CMD
Sam   Lin MD, CMD
John Kuotai Liu MD, CMD
Danny   Lock MD, CMD
Lisa   Ma MD, CMD
Anoop Kumar Maheshwari MD, CMD
Narendra   Malani MD, CMD
Mohan   Mallam MD, FACP, CMD
Luther Bien Mangoba MD, CMD
Dinesh S. Mantri MD, CMD
Noachim S. Marco MD, CMD
Jatinder   Marwaha MD, CMD
Jessica   Masocol MD, CMD
Eran   Matalon MD, CMD
Daniel Clinton Meador MD, CMD
Parvez   Memon MD, CMD
James   Michail MD, CMD
Reyadh J. Michail MD, CMD
Bernard Aron Michlin MD, CMD
Kyaw Myo Min MD, CMD
James   Mittelberger MD, MPH, CMD
Pradeep   Mohanroy MD, CMD
Nancy Ching Moore DO, FACP, CMD
Rasha A. Morad MD, CMD
Devadas S. Moses MD, CMD, FACP, DrPH
Kourosh   Moshiri MD, CMD
Bruce S. Mutter MD, CMD
Sudesh   Nagavalli MD, CMD
Andrew   Ng MD, CMD
Hung   Nguyen DO, CMD
Vincent D Nguyen DO, CMD
Sacha   Niemi MD, CMD
Daniel   Niknam DO, FACP, CMD
Jamshid   Niknam FCCP, MD, CMD
Ahmad   Nooristani MD, CMD
Loren Scott Novak DO, CMD
Akinwumi   Ola MD, CMD
Thet N. Oo MD, CMD
Shantharam   Pai MD, CMD
Cesar D. Palana II MD, CMD
Pravin M. Panchal MD, CMD
Hayk Vahe Papukhyan MD, CMD
Kevin   Parzych MD, CMD
Aditi   Patel DO, CMD
Janki   Patel MD, CMD
Mayur C. Patel MD, CMD
Hoang-Tuan K. Pham DO, CMD
Catherine K. Pyun DO, CMD
Chalat P. Rajaram MD, FACP, CMD
Seema S. Rao MD, CMD
Leilani Ragasa Raquel MD, CMD
Francisco L. Ravago MD, CMD
Taib   Rawi DO, CMD, MBA, HMDC
Justin   Rheem MD, CMD
Marylou   Romo-Gritzewsky MD, CMD
Keino   Rutherford MD, CMD
Saman   Sabounchi MD, CMD
Samir   Sairam MD, CMD
Omid   Salaami MD, CMD
Christopher E. Salem DO, CMD
Luis F. Sanchez MD, CMD
Julie   Sandoval-Perry MD, CMD
Mihir Kishor Sanghvi MD, CMD
Yuichiro   Sato DO, CMD
Lutfi Antun Sayyur MD, CMD
Noel   Serrano MD, FACP, CMD
Mona S. Shah MD, CMD
Zahid   Shaikh MD, CMD
Fariborz   Shams DO, CMD
Reza   Sharafi MD, CMD
Naini   Sharma MD, CMD
Andro   Sharobiem MD, CMD
Adam   Sherman DO, CMD
Keyvan   Shirazi MD, CMD
Deepak   Shrivastava MD, CMD
Asha Pritpal Sidhu MD, MBA, CMD
Robert   Siew MD, CMD
Bruce G. Silver MD, CMD
Mark Stephen Singer MD, CMD
Jhujhar   Singh DO, CMD
Sukhwinder   Singh MD, CMD
Emily   Sladek MD, CMD
Gregory Gerald Smith MD, CMD
Linda   Sohn MD, MPH, CMD
Chaewon   Song MD, CMD
Behzad   Souferzadeh DO, CMD
Murali   Srinivasan MD, CMD
Karl E. Steinberg MD, HMDC, CMD
Gary W. Steinke MD, CMD
Cary C. Stewart MD, PhD, CMD
JoAnn L. Stewart MD, CMD
Scott   Stringer MD, CMD
Bhanu   Sud MD, CMD
Joon   Suh DO, MS, CMD
Pedram   Taher MD, CMD
Reza   Talebi Dolouei MD, CMD
William   Tarng MD, CMD
Daniel   Tavari DO, CMD
Roger N. Tran MD, CMD
John E. Turns MD, CMD
Vinod   Valiveti MD, CMD
Terrell   Van Aken MD, CMD
Pablo Nicholas Veliz MD, CMD
Atul   Verma MD, CMD
Rafaelito S. Victoria MD, CMD
Xanthe Z. Victoria MD, CMD
Melissa B. Vourlitis DO, CMD, HMDC
Man Quang Vu MD, CMD
Paul D. Wagner MD, FACP, CMD
Andrew Ming-Yu Wang MD, CMD
Christopher   Williams MD, FACP, CMD
Salina   Wolf MD, CMD
Kiho   Woo MD, CMD
Norman   Woods MD, CMD
Glen L. Xiong MD, CMD
Atef Labib Yacoub MD, CMD
James M. Yeh DO, CMD
Jack N. Yu MD, CMD
Shahab   Zahed MD, MBA, CMD
Misty   Zelk MD, CMD
Maryam   Ziaie Matin MD, CMD, FACP
Bennett G. Zier MD, CMD
Kyi   Zin MD, CMD

 

Updated February 2026.
 
Posters: 2025 CALTCM Poster Session
The posters presented at the 2025 CALTCM Summit for Excellence were excellent! Participants at the annual meeting shared excellent feedback on the posters, and we’re proud to share them with all our CALTCM Friends & Family. The posters can be viewed in PDF format via the button below. In addition, you can join us in determining which posters will be recognized with an award.

To participate, please take a few moments to review the innovative posters and cases, then cast your vote for this year’s Specialized Awards.

Please cast your vote by Monday, December 15.

  1. Review the posters.
  2. Vote for your favorite posters (Most Provocative, Most Practical, and Best Case Study).
Click here to view PDF's of the posters.
Vote
 
CALTCM Awarded Accreditation with Commendation

FOR IMMEDIATE RELEASE

CALTCM Awarded Accreditation with Commendation by the California Medical Association (CMA) for its CME Program

Los Angeles, CA – August 8, 2025 – The California Association of Long Term Care Medicine (CALTCM) is proud to announce that its continuing medical education (CME) program has been awarded Accreditation with Commendation by the California Medical Association (CMA). This prestigious designation recognizes CALTCM's commitment to providing high-quality, impactful CME activities that improve patient care. 

Accreditation with Commendation recognizes CME providers that go beyond compliance to demonstrate excellence in areas such as learner performance, health care quality improvement, and public health impact. CALTCM programs have shown a measurable commitment to improving clinical care through innovative, team-based, and outcomes-driven education.

CALTCM is committed to continuing to provide high-quality CME activities that meet the evolving needs of the post-acute and long-term care (PALTC) community. Healthcare professionals are encouraged to explore CALTCM’s CME offerings and learn more about how they can benefit from their accredited program.  CALTCM proudly offers several signature events: CALTCM’s annual meeting, the CALTCM Summit for Excellence, Leadership and Management in Geriatrics®, and CALTCM SNF 2.0®. 

Dr. Rebecca Ferrini, Chair of the CALTCM Education Committee, shares: "I’m incredibly proud of the CALTCM Education Committee’s accomplishments. Through forward-thinking programs, we’ve made our in-person meetings more engaging than ever—with focused presentations, exceptional speakers, and personalized learning in our small-group ‘In-The-Trenches’ sessions. These gatherings don’t just share knowledge—they build a vibrant community, offering countless opportunities to connect with fellow PALTC professionals. Join us at our next meeting and experience it for yourself!"

Barbara Hulz, CALTCM Executive Director, adds: “I am grateful to CALTCM’s dedicated volunteers and members—especially our Education Committee and Board of Directors. Their tireless commitment and unwavering pursuit of excellence continually inspire and elevate our work. Our upcoming Annual Meeting is a shining example of this dedication and the exceptional programs we deliver.”

About CALTCM: The California Association of Long Term Care Medicine (CALTCM) is the medical voice of post-acute and long-term care in California. CALTCM values excellent and individualized medical care, a team approach, and the integration of medical science with personalized care. CALTCM is the organization of choice for long term care physicians and other long term care professionals in California. Founded in 1975 as the California Association of Medical Directors (CAMD), CALTCM changed its name to recognize the importance of other disciplines in PALTC, and to better reflect the interdisciplinary team approach needed to carry out its mission: To promote quality patient care across the long-term care continuum through medical leadership and education. CALTCM exists to provide quality education for long term care professionals, promote effective medical leadership, promote ethical delivery of care, and promote the rights of patients.

Contact:
Barbara Hulz
CALTCM Executive Director
[email protected]
(888) 332-3299
 
Vaccine Protocol Implementation

CALTCM is Seeking Nursing Homes

CALTCM is seeking nursing homes to join our FREE Vaccine Protocol Educational Program.  With CALTCM’s expertise at your side, you can navigate the complexities of vaccine protocols with confidence, ensuring that your residents receive the best care possible. 

Don’t miss this chance to be a part of this great opportunity. Kick-off: August 20, 2025 3:00pm - 4:30pm Pacific.

  • This is a FREE educational opportunity, but you must secure your spot in advance.
  • Online educational webinar offers CME/CEU/BRN to eligible participants.
  • FREE resources and implementation support.
  • To get started, please complete the quick interest form below. 

This initiative is not just an opportunity; it’s a vital commitment to enhancing patient care and safety in long-term care settings, showcasing your dedication to excellence. Imagine the positive ripple effect improved vaccination practices can have on the health and well-being of your community—together, let's build a safer, healthier environment for our loved ones.

If you have any questions, please contact our office at [email protected]. 

Click here for Program Information, Accreditation Statement, and Disclosure Statement.

 

Nursing Home Interest Form
 
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