Tag: Medicare Part B

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 […]

Palliative care programs might be on the hook for QPP

Any home health and hospice agencies that operate palliative care programs that bill under Medicare Part B might want pay attention to the Quality Payment Program (QPP) that began this calendar year, as they may be subject to its reporting requirements. The QPP program is part of the Medicare Access and CHIP Reauthorization Act of […]

Cardiac and orthopedic bundled payment models delayed to Jan 1, 2018

In a final rule published in the Federal Register today, May 19, the Department of Health and Human Services (HHS) finalized May 20, 2017 as the effective date of the bundled payment models and changes to the Comprehensive Care for Joint Replacement Model and delayed the implementation date of the final rule to January 1, […]

Pre-pay audits target J5 providers in IA, KS, MO, NE and national

J5 Jurisdiction providers are being targeted for prepayment, service specific, complex medical reviews of Inpatient SNF services conducted by Wisconsin Physician Services Government Health Administrators (WPS GHA), a Medicare Administrative Contractor (MAC) for the Centers for Medicare & Medicaid Services (CMS). J5 Jurisdiction includes skilled nursing facilities (SNF) that submit claims from Iowa, Kansas, Missouri, […]

February is American heart month

The Centers for Disease Control (CDC) report that the most common type of heart disease is coronary artery disease (CAD), which can lead to heart attack. Fortunately, lifestyle changes and, in some cases, medication, can reduce risk for CAD. To learn more about heart disease from the CDC, click here. Medicare Part B covers heart […]

Upcoming webcast: Medicare Part B: Get the Most Out of Your SNF Reimbursement

Join us tomorrow for this Medicare Part B webcast. Expert speaker, Janet Potter, from Marcum, LLP will help you understand the many requirements for billing Medicare Part B, including what items can be billed by the SNF and how to maximize reimbursement for your facility. Questions and issues will arise regarding claim discrepancies, and you’ll need to […]

Upcoming webcast: ACOs and Bundling: The New Dating Game

In recent years, the skilled nursing reimbursement system has continually evolved, and to find a suitable partner, you must now develop an appealing profile. In the new ACO payment system, it’s vital to know which skills are most valuable and how diagnosis coding can affect relationships with potential “suitors.” During this program, expert speaker Maureen […]

MedPAC releases its June 2016 Report to Congress

On June 15, the Medicare Payment Advisory Commission (MedPAC) releases its June 2016 Report to the Congress: Medicare and the Health Care Delivery System. The report examines a variety of Medicare payment system issues, including: Medicare drug spending in its broader context Medicare Part B drug and oncology payment policy issues Improving the Medicare Part […]

HCPro Customer Survey

HCPro is conducting a customer survey to better understand our customer’s responsibilities and workflows, to better improve our training, education, and communication with customers. Please take this short survey so we can best meet your needs. Click here to take the survey.