Tag: coding

Ultrasound used as therapy for Alzheimer’s

Researchers at the University of Queensland in Australia have found that non-invasive ultrasound can break down the neurotoxic amyloid plaques associated with Alzheimer’s. Their research was published in the journal Science Translational Medicine. Researchers used repeated scanning ultrasound treatments of the mouse brain to remove the amyloid plaques, without the need for any additional therapeutic agent. […]

COMING SOON! Biller’s Association

At HCPro, we recognize that long-term care billers are a largely underserved professional population. While long-term care has national associations for nearly every type of nursing home professional, no membership association for billing professionals exists – until now. The soon to be launched HCPro’s Billers’ Association is a national membership community designed specifically for long-term […]

Five common misconceptions about the transition to ICD-10

To help dispel some of the myths surrounding ICD-10, the Centers for Medicare & Medicaid Services (CMS) recently talked with providers to identify common misperceptions about the transition to ICD-10. Here are five more facts addressing common questions and concerns CMS has heard about ICD-10: If you cannot submit ICD-10 claims electronically, Medicare offers several […]

New Medicare prescription drug cost data available

As part of the Administration’s goals of better, care, smarter spending, and healthier people, the Centers for Medicare & Medicaid Services announced the availability of new, privacy-protected data on Medicare Part D prescription drugs prescribed by physicians and other health care professionals in 2013. This data shows which prescription drugs were prescribed to Medicare Part […]

Ask the expert: Tube feeding

Q: Regarding tube feeding, I have a resident who resides in a SNF, she receives only flushes, no nutrition via PEG tube. She was skilled for a tube in the past (2013), but has not received any nutrition for a year; does she qualify for another benefit period? She is still receiving flushes with occasional feeding. […]

CMS will expand MDS focused surveys

Last year, CMS piloted MDS focused surveys to evaluate the effectiveness of practices associated with MDS coding accuracy, accurate MDS-based reimbursement levels, and dementia care. Due to the results of the MDS focused surveys revealing inaccurate staging and documentation of pressure ulcers, lack of knowledge regarding the classification of antipsychotic drugs, and poor coding of restraint […]

CMS released the Medicare fee for service improper payments report for 2013

The estimated 2013 Medicare FFS improper payment rate – the percentage of Medicare dollars paid incorrectly – was 10.1 percent. This means that Medicare paid an estimated $36.0 billion incorrectly between July 2011 and June 2012. For 2013, CMS adjusted the improper payment rate by 0.6 percent ($2.2 billion) from 10.7 percent to 10.1 percent […]

New ACO proposals could provide boost to LTC providers

CMS released a new proposal to strengthen the Shared Savings Program for ACOs. The rule proposes changes to several program areas including: beneficiary assignment data sharing available performance risk models eligibility requirements participation agreement renewals compliance and monitoring The proposed rule reflects input from program participants, experts, consumer groups, and the stakeholder community at large. […]

CMS updates guidance for surveyors

Nursing home surveyors should question staff members to ensure that residents’ care is aligned with their advance directives, according to a manual update recently released by the Centers for Medicare & Medicaid Services. The document released Wednesday includes revised guidance for more than 20 F-Tags, including those related to dementia care, restraints and nasogastric tubes. […]

ICD-10 and you

Is your facility ready for the transition to ICD-10? Are you still preparing? What are the obstacles you face in getting more prepared? Do you need more preparation in implementation, physician documentation, dual-coding, office management? We are working on a new ICD-10 book, due out in May 2015. Please tell us your thoughts! Comment here, or email Managing […]