Category: Billing

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 […]

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 […]

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providers of therapy services shall continue to report the KX modifier on claims as applicable; however, the modifier no longer represents an exception request but serves as a confirmation that services are medically […]

Revenue integrity enthusiasts: Do you have what it takes to present at RIS?

The National Association for Healthcare Revenue Integrity (NAHRI) is currently seeking speakers to present at the 2019 Revenue Integrity Symposium (RIS), to be held October 15–16, 2019, at the Renaissance Orlando at SeaWorld in Orlando, Florida. RIS attendees will be eligible to earn CHRI CEUs and speakers will be eligible to earn additional CHRI CUEs. […]

What you need to know about the updated MDS items sets for 2019

Source: The Bottom Line CMS posted a new DRAFT version of the 2019 MDS item sets (v1.17.0) last week. This version is scheduled to become effective October 1, 2019, giving facilities until then to update their software with the new MDS questions and answers. Downloadable files can be accessed here: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIMDS30TechnicalInformation.html HCPro’s post-acute regulatory specialist […]