Category: News

CMS issues ICD-10 split claims billing instructions

CMS issued a MLN Matters article that offers instructions that clarify the policy for processing claims for certain institutional encounters that span the ICD-10 implementation date of October 1, 2014. Skilled Nursing Facilities (Inpatient Part B): Bill type: 22X Use FROM date Require providers split the claim so all ICD-9 codes remain on one claim […]

CMS releases new QAPI resources

On June 7, the Centers for Medicare & Medicaid Services (CMS) released a memo sent to state survey agency directors that announced the rollout of introductory materials to help nursing homes establish a foundation to implement and sustain the Quality Assurance and Performance Improvement (QAPI) transition. The introductory materials include: QAPI at a Glance: A […]

Diving In Deeper: MDS 3.0 RAI User’s Manual Update

The Centers for Medicare & Medicaid Services (CMS) recently released a revised version of the MDS 3.0 Resident Assessment Instrument (RAI) User’s Manual. Let’s take an in-depth look at the changes, which were fairly minimal, according to Diane Brown, BA, director of postacute education at HCPro, Inc. The changes (which are underlined) were mostly clarifications […]

CMS releases updated MDS 3.0 RAI User’s Manual

The Centers for Medicare & Medicaid Services (CMS) recently released the RAI Manual v1.10 Replacement Manual Pages and Change Tables and the RAI Manual v1.10 and Change Tables. MDS 3.0 RAI Manual v1.10 Appendix B was also updated. The updated MDS 3.0 RAI Manual v1.10 was effective May 8, 2013. This version of the MDS […]

2014 SNF Proposed Rule Analysis: Revising and rebasing the SNF market basket

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that is proposing to rebase and revise the SNF market basket for 2014 and subsequent years to reflect more recent data. The current SNF market basket reflects data from 2004 and CMS is proposing to revise and update the SNF market basket […]

2014 SNF Proposed Rule Analysis: Payment changes breakdown

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for 2014. CMS estimates that aggregate payments to SNFs will increase by $500 million, or 1.4 percent, from payments in 2013. This is based […]

Payment rate changes: How will 2014 compare to this year?

On Wednesday, CMS released a proposed rule that would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for 2014. According to CMS, aggregate payments to SNFs will increase by $500 million, or 1.4 percent, from payments in 2013. This estimated increase is attributable to the 2.3 percent […]

CMS Releases Proposed Rule Featuring Payment Updates for 2014

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for 2014 and would revise and rebase the SNF market basket. This proposed rule also includes a proposed policy for reporting the SNF market […]

CMS releases memo to survey agencies regarding sequestration

On April 5, CMS released a memo titled “FY2013 Sequestration Adjustments for Survey & Certification (S&C)” to all state survey directors. According to the memo, CMS is making certain adjustments to S&C operations to accommodate sequestration with as little impact on the public as possible. In regards to long-term care, one of the updates focuses […]