Tag: Medicare

CMS releases Medicare FAQ for COVID-19 payments

The Centers for Medicare & Medicaid Services (CMS) issued frequently asked questions and answers (FAQs) for healthcare providers regarding Medicare payment for laboratory tests and other services related to the 2019-Novel Coronavirus (COVID-19). The agency is receiving questions from providers and created this document to be transparent and share answers to some of the most […]

CMS selects applicants to participate in new Emergency Triage, Treat, and Transport (ET3) Model

CMS announced on February 27 the selection of 205 applicants to participate in Emergency Triage, Treat, and Transport (ET3) Model, a new payment model that gives flexibility to ambulance staff when addressing emergency needs of Medicare fee-for-service beneficiaries. This voluntary, five-year payment model will allow participating EMS to treat SNF residents within the facility following […]

CMS makes changes to Medicare Benefit Policy Manual for home health

CMS has issued an update to the Medicare Benefit Policy Manual for home health. The update reflects policy changes finalized in the 2019 and 2020 PPS final rules, according to Change Request 11577. These changes include implementation of the Patient-Driven Groupings Model (PDGM), the shift to a 30-day payment period, changes to requests for anticipated payment […]

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 […]