Category: Billing

Virtual Summit: Post-Acute NOW discusses rebalancing PDPM post-COVID

What will the new normal look like as the pandemic turns a corner? Skilled nursing facilities (SNFs) need to understand how payment was unique during the pandemic and how reimbursement might change moving forward. Understand what your SNF should be prepared for and how to look at the data to determine payment in the future. […]

Re-evaluating Payment After a Year of COVID

With us today is Maureen McCarthy. Maureen is president of Celtic Consulting, LLC, and CEO and founder of Care Transitions, LLP, a care coordination service provider. We discuss how reimbursement avenues have changed in the past year, and how SNFs need to consider what might change as the pandemic hopefully improves. Post-Acute Advisor · Re-evaluating […]

FY 2021 Final Rule

Long-term care Reta Underwood gives us the highlights on the finalized SNF FY2021 payment rule from CMS. Subscribe on SoundCloud, Spotify, or Apple Podcasts.   Post-Acute Advisor · SNF FY2021 Final Payment Rule with Reta Underwood

Skilled Nursing and Documentation Challenges During COVID-19

Today, long-term care expert Maureen McCarthy, RN, BS, RAC-MT, CQP, president of Celtic Consulting, LLC., discusses how nurses can recognize when the care they are providing is skilled and how COVID-19 impacts skilled care and documentation. We also dive into lessons learned from northeast facilities as COVID cases rise in the other parts of the […]

New Post-Acute Advisor Podcast: SNF Reimbursement and Billing during COVID-19

With us today is Reta Underwood. Reta is a Medicare Specialist and president of CLTC, a national long-term care consulting firm based in Kentucky. Today, we’ll be talking about revenue cycle disruption in SNFs due to the pandemic. We talk about CMS’ COVID-19  FAQ doc – download it now. Post-Acute Advisor · SNF Reimbursement and […]

CMS suspends restrictions on care venues as providers tackle COVID-19 surges

The Trump Administration has suspended regulatory barriers and will now allow hospitals to clear precious bed capacity by triaging non-COVID-19 patients in thousands of ambulatory surgery centers, rehab hospitals, and even hotels and college dorms. The sweeping “Hospitals Without Walls” initiative takes effect immediately, will last through the duration of the pandemic, and allows hospitals […]

CMS delays implementation of the October 1, 2020 Minimum Data Set 3.0 v1.18.1 release

CMS is delaying the Minimum Data Set (MDS) 3.0 v1.18.1 release, which had been scheduled for October 1, 2020, in response to stakeholder concerns. The MDS item sets are used by Nursing Home and Swing Bed providers to collect and submit patient data to CMS. This MDS data informs payment, quality, and the survey process. […]

Did you know? 2019 Revenue Integrity Symposium is this October

October 15-16, 2019 | Orlando, FL The Revenue Integrity Symposium is the can’t-miss event for revenue integrity, revenue cycle, and Medicare compliance education and high-level networking for acute and long-term care professionals. Learn from trusted experts with cutting-edge regulatory insight that will arm you with the tools you need to take 2020 by storm. By […]

What to consider: SNF Proposed Rule for 2020

The following was written by Reg Hislop for Reg’s Blog. Reposted with permission. . The SNF proposed rule is best characterized as mostly good news. The best news is the proposed market-basket (rate inflation) update of 3%. Subtracting the productivity factor of .5% from the update, SNFs will see a rate increase of 2.5% starting […]

CMS removes functional reporting requirements and changes therapy provisions

CMS has released an update on therapy caps and functional reporting. Effective for dates of service on or after January 1, 2018, providers of therapy services shall continue to report the KX modifier on claims as applicable; however, the modifier no longer represents an exception request but serves as a confirmation that services are medically […]