Healthcare

Is Your Billing System Ready to Process October SNF Medicare Part A claims?

The Federal Fiscal Year (FY) 2019 rates are effective from October 1, 2018 through September 30, 2019.  The new rates include the annual market basket and wage index changes.  In addition, there is a new SNF Value Based Purchasing (VBP) program adjustments and some providers are subject to a SNF Quality Reporting Program (QRP) penalty.   […]

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10/1/18 PPS Rate Update

Update: CMS published a Correction Notice in October 2018, updating the Final Rule for Fiscal Year 2019 SNF PPS rates.  Click here to download the updated rates. CMS Issues FY 2019 RUG-IV Medicare SNF PPS Rates Effective October 1, 2018 The Centers for Medicare & Medicaid Services (CMS) published the final rule updating Medicare SNF […]

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CMS Five-Star Ratings: Impact of Changes

The Five-Star Quality Rating system for nursing facilities (NF) was created to help consumers and families more easily compare nursing homes and identify high and low performing facilities. Facilities are given a Five-Star rating in 4 areas – Overall, Staffing, Health Inspections, and Quality Measures. It is increasingly important for NFs to monitor Five-Star ratings […]

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Quality Reporting Program: Non-Compliance Letters for SNFs, Hospice, LTCH and IRFs

CMS provided notifications to the facilities that are determined to be out of compliance with Quality Reporting Program (QRP) requirements for CY 2017 for the following provider types: Skilled Nursing Facility (SNF) Hospice Long-Term Care Hospital (LTCH) Inpatient Rehabilitation Facility (IRF) Non-compliance notifications were mailed by Medicare Administrative Contractors and placed into QIES CASPER folders […]

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