Tag: Medicare Part A

CMS expands accelerated payments for qualified Medicare providers

Accelerated and advance payments (AAP) could be retrieved in the next few weeks for qualified Medicare providers during the COVID-19 Public Health Emergency (PHE). CMS has released a fact sheet titled “Expansion of the accelerated and advance payments program for providers and suppliers during COVID-19 emergency.” The AAP has been expanded to a broader group […]

CMS releases 2020 Medicare premiums and deductibles fact sheet

CMS has released a fact sheet for 2020 Medicare Part A premiums and deductibles. The 2020 coinsurance amounts are as follows: Part A Deductible and Coinsurance Amounts for Calendar Years 2019 and 2020 by Type of Cost Sharing 2019 2020 Inpatient hospital deductible $1,364 $1,408 Daily coinsurance for 61st-90th Day $341 $352 Daily coinsurance for lifetime […]

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: […]

CMS offers new settlement option for appeals pending at OMHA and DAB

On November 3, 2017, CMS announced that they will offer an additional settlement option for providers and suppliers (appellants) with appeals pending at the Office of Medicare Hearings and Appeals (OMHA) and the Medicare Appeals Council (the Council) at the Departmental Appeals Board. The low volume appeals settlement option (LVA) will be limited to appellants […]

20% of Medicare ambulance claims have inappropriate billing for transport

CMS reports that in a September 2015 report, the Office of the Inspector General (OIG) released results of a study of Medicare Part B ambulance claims. According to the report, almost 20 percent of ambulance suppliers had inappropriate and questionable billing for ambulance transport, creating vulnerabilities to Medicare program integrity. The OIG identified a number […]

MedPAC’s June report is in: Summary here

The Medicare Payment Advisory Commission (MedPAC) published their June Report to the Congress: Medicare and the Health Care Delivery System, in which they evaluate several Medicare payment issues in order to make recommendations to Congress. Issues addressed include: Implementation of a unified payment system for post-acute care. Given the overlap among PAC settings (skilled nursing […]

Change to Advanced Beneficiary Notice of Noncoverage

Providers should be using the updated Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, beginning June 21, 2017 (but may begin using the new forms prior to this date). There are no changes to the form itself, however, providers should take note of the new expiration date of March 2020. The ABN is issued by […]

NEW: Billing boot camp for SNFs

HCPro’s new Skilled Nursing Facility Billing Boot Camp covers the latest Medicare billing rules and regulations so that you can help your facility bill appropriately for services and prevent payment denials. The bootcamp will be held Monday, August 14 – Tuesday, August 15, from 8:00 a.m. – 5:00 p.m. Skilled Nursing Facility Billing Boot Camp provides […]

SNF Quality Reporting deadline tomorrow, June 1

Tomorrow, June 1, is the deadline for all SNFs receiving Medicare funding to have all their MDS forms for admissions/discharges happening between October 1, 2016 and December 31, 2016 completed. This requirement must be met in order to remain compliant with the SNF Quality Reporting Deadline. SNFs that do not comply with this requirement risk […]