Category: News

CMS releases an interactive online mapping tool for Medicare Part D prescription claims

On November 3, 2015, the Centers for Medicare & Medicaid Services (CMS) released an interactive online mapping tool( which shows geographic comparisons at the state, county, and ZIP code levels of de-identified Medicare Part D opioid prescription claims – prescriptions written and then submitted to be filled – within the United States. This new mapping tool […]

ICD-10 Transition Moves Forward

On November 4, 2015, The Centers for Medicare & Medicaid Services (CMS) announced that it has been carefully monitoring the ICD-10 transition and is pleased to report that claims are processing normally. You can find information about the first month of Medicare Fee-For-Service claims processing in this CMS Fact Sheet. Keep Up to Date on […]

November is Alzheimer’s Awareness Month

November is Alzheimer’s Awareness month. More than 5 million Americans develop Alzheimer’s, but the number of people affected—family, friends, caregivers—is even greater. November is Alzheimer’s Awareness Month and Family Caregivers Month; the perfect time to recognize those affected. Caregivers for Alzheimer’s and dementia face special challenges. During the month of November, the Alzheimer’s Association share […]

Leading Age starts Sunday, Nov. 1st!

Heading to Leading Age in Boston? Come meet HCPro author, Kelly Papa, who wrote Effective Nurse Leadership: Transforming Long-Term Care at her session, Building a Learning Organization, on Wednesday, November 4th, at 12:00-1:30. During this session, Papa will explore how to: Recognize the role of leaders in building trusting relationships and bringing clarity to an […]

Qualifiers for ICD-10 Diagnosis Codes on Electronic Claims

As you submit electronic claims for services, it is important for you to remember that: Claims with ICD-10 diagnosis codes must use ICD-10 qualifiers; all claims for services on or after October 1, 2015, must use ICD-10 Claims with ICD-9 diagnosis codes must use ICD-9 qualifiers; only claims for services before October 1, 2015, can […]

Discharge Planning Proposed Rule Focuses on Patient Preferences

On October 29, 2015, the Centers for Medicare & Medicaid Services (CMS) proposed to revise the discharge planning requirements that hospitals, including long-term care hospitals and inpatient rehabilitation facilities, critical access hospitals, and home health agencies, must meet in order to participate in the Medicare and Medicaid programs. The proposed changes would modernize the discharge […]

How to check your Medicare FFS claim status

With the recent transition to ICD-10, you may wonder how soon you will know whether your Medicare fee-for-service (FFS) claim was paid. Generally speaking, Medicare FFS claims take several days to be processed and must also – by law – wait two weeks before payment is issued. You can check your Medicare FFS claim status […]

Help us send a nurse to Dr. Oz!

Dr. Oz is searching for a nurse to join his core team of experts on his television show and we think we know the perfect nurse! Kathleen Bartholomew, RN, MN, is a nationally recognized expert on healthcare communication and patient safety. She is the author of the groundbreaking books Ending Nurse-to-Nurse Hostility: Why Nurses Eat […]

Medicare Open Enrollment Is Available

On October 15, 2015, The Centers for Medicare & Medicaid Services (CMS) announced the beginning of the Medicare Open Enrollment period where people with Medicare can shop for a Medicare Advantage (MA) or Prescription Drug Plan (PDP) for 2016. The Medicare Open Enrollment period happens every year from October 15 through December 7. For 2016, […]

CMS hosting special open door forum

Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum on Thursday, October 8, 2015 from 2:00-3:00 EST to discuss the upcoming Dry Run for LTCH Provider Performance Reports on All-Cause Unplanned Readmissions for 30-Day Post Discharge from Long-Term Care Hospitals (LTCHs). The purposes of this Special Open Door Forum are: […]