Tag: SNF PPS

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 […]

Understand special SNF billing cases to avoid claims rejections

Editorial Note: This post is an excerpt from HCPro’s title Consolidated Billing for Long-Term Care by Frosini Rubertino, RN, BSN, C-NE, CDONA/LTC Often times, claim rejections and negative outcomes from billing compliance audits are results of ineffective or nonexhaustive billing processes within the skilled nursing facility (SNF). The below information will help providers lay the […]

CMS seeks comment on RUG-IV replacement

On April 27, the Centers for Medicare & Medicaid Services (CMS) published an Advanced Notice of Proposed Rulemaking (ANPRM) or pre-rule in the Federal Register, seeking public comment on proposed options for revising certain aspects of the existing skilled nursing facility (SNF) prospective payment system (PPS) payment methodology to improve its accuracy, based on the […]

SNF outlook, real estate investment trusts, Kindred, and where to from here

Editorial note: This blog post has been republished from Reg’s Blog: Senior and Post-Acute Healthcare News and Topics, with permission from the author. As the title of this post implies, a review of the status of the skilled nursing facility (SNF) industry is as much about current issues brought on by past issues influenced by […]

CMS orders post-pay audit of SNF PPS claims

The Supplemental Medical Review Contractor (SMRC) is charged with conducting nationwide medical review as directed by the Centers for Medicare & Medicaid Services (CMS). Topics and timeframes for these reviews are dictated by CMS and are chosen to address specific agency interests regarding coverage, coding, payment, and billing practices. On March 17, 2017, SMRC announced […]

Essential tools for the MDS coordinator

Whether you are just beginning your career or are a veteran MDS coordinator, you play a pivotal role in managing the long-term care residents’ care.

Proposed fiscal year 2017 payment and policy changes for Medicare

On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule outlining proposed Fiscal Year (FY) 2017 Medicare payment rates and quality programs for skilled nursing facilities (SNFs). The proposed policies in the proposed rule continue to shift Medicare payments from volume to value. The Administration has set measurable goals […]

SGR proposal is gaining support

The American Health Care Association (AHCA) announced its support for the sustainable growth rate (SGR) proposal currently in Congress, joining Leading Age. The proposal seeks to replace the Medicare sustainable growth rate (SGR) formula tied to physician compensation with a payment system that is designed to improve value and return stability to physician payment. Congress […]

SNFs and Rehab facilities should receive same payments

Skilled nursing facilities and inpatient rehabilitation facilities should receive the same payments for treating certain conditions, the Medicare Payment Advisory Commission recommended in its latest report to Congress. MedPAC has long shown support for equalizing IRF and SNF payments, and the group provided an in-depth consideration of the potential policy in the report released Friday. […]

Federal government notes slowdown in nursing home spending

Decreased payouts for nursing home care was one reason that healthcare spending grew more slowly for seniors than for any other age group between 2002 and 2010, the Centers for Medicare & Medicaid Services announced Monday. Average annual growth in per capita healthcare spending was about 4% for the elderly during the eight-year period studied, […]