Tag: Medicare

New enrollment deactivation guidance provides ‘rebuttal rights’ to providers

An extensive manual change concerning enrollment deactivations suggests that CMS is trying to make it easier for providers to avoid the hassle of accidental removal from Medicare — but you still have to know and follow the rules. Currently, Chapter 15 of the Medicare Program Integrity Manual, which covers enrollment, has simple templates for letters […]

New ‘MBI quiz jumper’ game available through Medicare arcade

There is now a second game available on the Medicare arcade through Medicare Administrative Contractor (MAC) National Government Services. The game is called the MBI quiz jumper. It allows the player to control a character as he jumps from platform to platform. Landing on certain boxes will prompt a question about new Medicare Beneficiary Identifiers […]

Requirement to use SSN-free Medicare numbers approaches, know what to do if numbers change

Agencies will soon be required to submit all claims using new Medicare beneficiary identifiers (MBIs), but agencies should be prepared for times when those MBIs change. Medicare beneficiaries or their authorized representative can request to change the MBI if needed, as can CMS, according to a release from Medicare Administrative Contractor (MAC) CGS. This could happen if the […]

Hospitals discharging more to home health than SNFs

SNF admissions from hospitals dropped in all 50 states last year, according to the 2019 Industry Trend Report from Trella Health. The report examined Medicare Part A and Part B claims submitted across the postacute care continuum, and found that 23.3% of patients were discharged to home health, while only 21.1% were discharged to a […]

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 […]

Medicare-enrolled nurse practitioners in Maryland to certify home health services

Starting in January 2020, Medicare-enrolled nurse practitioners in Maryland will be allowed to certify home health services as part of the Medicare Total Cost of Care (TCOC) Model. The change will be effective for services provided on or after Jan. 1, according to change request 11330. Currently Medicare only pays for home health if a […]

CMS receives application from TJC to continue as national accrediting organization for HHAs

CMS issued a proposed notice that they received an application from the Joint Commission (TJC) for continued recognition as a national accrediting organization for HHAs that wish to participate in the Medicare or Medicaid programs. Within 60 days of receiving an organization’s complete application, the state required CMS to publish a notice that: 1) identifies […]

Direct patients to Medicare resources during open enrollment

A State Health Insurance Program (SHIP) is an insurance counseling service that is provided free of charge by the Administration on Community Living in partnership with the Centers for Medicare & Medicaid Services as well as state aging agencies to help assist Medicare beneficiaries and their caregivers. By discussing coverage, cost and convenience, the goal […]