Tag: long term care facilities

New Medicare card project special open door forum March 20

CMS will host a Special Open Door Forum to give providers an opportunity to ask questions about the New Medicare Card Project on Tuesday, March 20 from 2:00pm-3:00pm, ET. Providers are encouraged to use this call to get answers to questions and get prepared to accept the new Medicare Beneficiary Identifier starting April 1, 2018. […]

MedPAC encourages Medicare beneficiaries to use higher-quality PAC providers

During the Medicare Payment Advisory Commission’s (MedPAC) public meeting on Thursday, March 1, analyst Evan Christman reviewed options for modifying Medicare’s hospital discharge rules to encourage beneficiaries to use higher-quality PAC providers. Christman pointed out that Medicare assigns responsibility for discharge planning to the hospital, and while part of this responsibility includes providing the beneficiary […]

CMS IMPACT Act special open door forum March 28

CMS’ upcoming IMPACT Act Special Open Door Forum (SODF) on Wednesday, March 28, 2:00pm-3:00pm, ET, will provide information and solicit feedback pertaining to development and testing of Standardized Patient Assessment Data Elements as mandated by the Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act). This SODF will provide an update on the national […]

RCS-1 draft model calculation worksheet

SNF providers are on the edge of their seats as they anticipate CMS’ consideration of a replacement for the Resource Utilization Group (RUG) system, which will change the way facilities are reimbursed for SNF Medicare Part A residents beginning as early as FY2019. The Resident Classification System, Version 1 (RCS-1) will be the most significant […]

New CMS policy could change inpatient rehab denial trend

In the past, Medicare contractors have been allowed to deny a claim for inpatient rehab if the required three-hour minimum of direct care mark was missed by mere minutes, even if the additional minutes were made up on a subsequent day. Now, however, due to new guidance released by CMS, this denial trend could change. […]

Tune into CMS’ next SNF/LTC open door forum March 8

The next CMS Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum scheduled for: Thursday, March 8, 2018, 2:00 PM – 3:00 PM Eastern Time (ET). Announcements and updates will include: Low Volume Appeals Opportunity Announcement SNF QRP Update Payroll-Based Journal (PBJ) Update Click here for call-in information.

Survey preparation experts will share their top tips on Wednesday, March 7

It’s important that providers understand how the new survey process differs from prior survey cycles and what to expect from surveyors before they arrive at the facility. On Wednesday, March 7, from 1:00-2:00pm, ET survey preparation experts Reginald M. Hislop III, PhD, and Diane R. Hislop, RN, will help providers prepare for the new QIS-driven […]

CMS announces disaster exceptions/exemptions for providers affected by California wildfires

CMS is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to skilled nursing facilities, home health agencies, and hospices. These healthcare providers and suppliers will be granted exceptions without having to submit a request if they are located in Santa Barbara county or Ventura county. The scope and duration of the exception […]

How will ADL scoring change under RCS-1?

RCS-1 was introduced in an Advance Notice of Proposed Rulemaking [CMS-1686-ANPRM]. While providers are awaiting an implementation date, HCPro is dedicated to helping you understand the changes from RUG-IV and navigate the shift every step of the way! An important change introduced by RCS-1 affects capturing of ADLs and a reduction in the number of assessments required. “With […]

Ethical principles for long-term care billers

The following post is an excerpt from Medicare Guide for SNF Billing and Reimbursement by Janet Potter, CPA, MAS, and Frosini Rubertino, RN-CNE, CDONA/LTC, CPRA. The following ethical principles are based on the core values of The Billers’ Association for Long-Term Care. They apply to all members. Long-term care billing professionals shall do the following: […]