This fall the Nursing Home Licensure and Certification Section is offering training for MDS coding. Each MDS Coding class is 60 to 90 minutes in length and will be available via Microsoft Teams.
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This fall the Nursing Home Licensure and Certification Section is offering training for MDS coding. Each MDS Coding class is 60 to 90 minutes in length and will be available via Microsoft Teams.
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This fall the Nursing Home Licensure and Certification Section is offering training for MDS coding. Each MDS Coding class is 60 to 90 minutes in length and will be available via Microsoft Teams.
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This fall the Nursing Home Licensure and Certification Section is offering training for MDS coding. Each MDS Coding class is 60 to 90 minutes in length and will be available via Microsoft Teams.
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This fall the Nursing Home Licensure and Certification Section is offering training for MDS coding. Each MDS Coding class is 60 to 90 minutes in length and will be available via Microsoft Teams.
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Providers are able to view COVID-19 Accelerated/Advance Payment (CAAP) balance information via Palmetto GBA
eServices online portal using the Overpayment Data tab under Financial Tools.
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The updated List of Excluded Individuals and Entities (LEIE) database file, which reflects all OIG exclusions and reinstatement actions up to, and including, those taken in March 2021 has been posted.
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The Centers for Medicare & Medicaid Services (CMS) has published an article informing all Medicare providers who requested and received COVID-19 Accelerated and Advance Payments (CAAPs) that the process has started to recover those payments as early as March 30, 2021.
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During the COVID pandemic, nursing facilities have received different increases in their Medicaid rates.
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AAP repayments will begin, for all Medicare providers who received AAP payments, one year from date of the AAP receipt.
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Part A providers are invited to join Palmetto GBA for our quarterly Ask the Contractor Teleconference, (ACT) Wednesday, February 24, 2021, at 11 a.m. ET.
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Last week, NCHCFA was contacted by a member facility asking whether or not a nursing facility resident could give away their stimulus check.
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he American Health Care Association (AHCA) has posted an updated webex on the January 15th updated provider relief fund (PRF) reporting guidance and using the reporting portal.
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The Centers for Medicare & Medicaid Services (CMS) will delay the cost report filing deadlines for all provider types, including skilled nursing facilities (SNFs) and home office cost statements, with a fiscal year ending on or between March 1, 2020 through December 31, 2020.
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The updated List of Excluded Individuals and Entities (LEIE) database file, which reflects all OIG exclusions and reinstatement actions up to, and including, those taken in December 2020 has been posted.
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In an off-cycle update to the 2021 ICD-10-CM Coding Guidelines posted in December in response to the COVID-19 pandemic, the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS) implemented six new diagnosis codes into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), effective January 1, 2021.
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The North Carolina Health Care Facilities Association (NCHCFA) received grant funds through House Bill 1105.
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On November 6th the Centers for Medicare and Medicaid Services (CMS) posted a change request transmittal CR11992 that updates the skilled nursing facility (SNF) Patient-Driven Payment Model (PDPM) claims processing instructions for claims that contain both covered and noncovered days.
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The Centers for Medicare & Medicaid Services (CMS) hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19.
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On page 9 of the annual license application, there is a question regarding Medicare RUGs and rates.
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Register today for You Asked For It: Top 10 North Carolina Reimbursement Concerns with speaker Becky Hewitt, Reimbursement Specialist with Hall Booth Smith, P.C.
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Register today for You Asked For It: Top 10 North Carolina Reimbursement Concerns with speaker Becky Hewitt, Reimbursement Specialist with Hall Booth Smith, P.C.
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Palmetto GBA has scheduled their first-ever virtual MACtoberfest, "Shelter in Place, We are Coming to You."
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Palmetto GBA has scheduled their first-ever virtual MACtoberfest, "Shelter in Place, We are Coming to You."
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NCHCFA has scheduled our virtual Financial Summit for November 4, 5, 10, and 11, 2020. This conference focuses on topics having a direct connection to...
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NCHCFA has scheduled our virtual Financial Summit for November 4, 5, 10, and 11, 2020.
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NCHCFA has scheduled our virtual Financial Summit for November 4, 5, 10, and 11, 2020.
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NCHCFA has scheduled our virtual Financial Summit for November 4, 5, 10, and 11, 2020.
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NCHCFA has scheduled our virtual Financial Summit for November 4, 5, 10, and 11, 2020.
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NCHCFA has scheduled our virtual Financial Summit for November 4, 5, 10, and 11, 2020.
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NCHCFA has scheduled our virtual Financial Summit for November 4, 5, 10, and 11, 2020.
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Palmetto GBA has scheduled their first-ever virtual MACtoberfest, "Shelter in Place.
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Starting October 1, 2020, the SNF PPS rates will be updates to reflect the latest payment rule.
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Changes are being implemented to the rate letter notification process being utilized to advise providers of traditional Medicaid base rates, and the status of facility-specific COVID-19 Outbreak and Response Facility rates.
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For the past several months, we have been publishing articles detailing the financial assistance available for nursing facilities.
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As we indicated August 11th, NC DHHS released guidance on Secretary Cohen’s recent staff testing mandate.
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As we indicated August 11th, NC DHHS released guidance on Secretary Cohen’s recent staff testing mandate.
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To protect the Medicare Trust Fund against inappropriate payments, Medicare Administrative Contractors (MACs), including Palmetto GBA, are resuming fee-for-service medical review activities.
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Join us for a two-part webinar series on MDS 3.0 changes and updates with speaker Janet Brooks, RN, RAC-CT, RAI Education Coordinator, NC Division of Health Service Regulation and accompanied by Cindy Deporter, MSSW, State Agency Director, NC Division of Health Service Regulation.
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Join us for a two-part webinar series on MDS 3.0 changes and updates with speaker Janet Brooks, RN, RAC-CT, RAI Education Coordinator, NC Division of Health Service Regulation and accompanied by Cindy Deporter, MSSW, State Agency Director, NC Division of Health Service Regulation.
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Join us for a two-part webinar series on MDS 3.0 changes and updates with speaker Janet Brooks, RN, RAC-CT, RAI Education Coordinator, NC Division of Health Service Regulation and accompanied by Cindy Deporter, MSSW, State Agency Director, NC Division of Health Service Regulation.
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Join us for a two-part webinar series on MDS 3.0 changes and updates with speaker Janet Brooks, RN, RAC-CT, RAI Education Coordinator, NC Division of Health Service Regulation and accompanied by Cindy Deporter, MSSW, State Agency Director, NC Division of Health Service Regulation.
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Back by popular demand! Join us and presenter, Robin Hillier, CPA, STNA, LNHA, RAC-CT, President of RLH Consulting for the provider’s perspective of the MDS 3.0 changes and updates.
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NCHCFA presents MDS 3.0 – What Every Facility Needs to Know – From a Provider’s Perspective with speaker Robin Hiller, President of RLH Consulting.
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NCHCFA presents MDS 3.0 – What Every Facility Needs to Know – From a Provider’s Perspective with speaker Robin Hiller, President of RLH Consulting.
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Palmetto GBA has released a list of frequently asked questions to help providers understand the process and options of repaying accelerated/advance payments (AAPs) issued for COVID-19.
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A new issue is affecting some inpatient hospital and Skilled Nursing Facility (SNF) claims when an interrupted stay is billed at the end of the month.
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All Credit Balance Reports for the quarters ending March 31 and June 30, 2020, are due on July 30.
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The federal government is making COVID-19 relief funds available to the operators of facilities that changed hands in the months leading up to the coronavirus pandemic, however the window to apply is not very long.
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CMS is providing notifications to facilities that were determined to be out of compliance with Quality Reporting Program (QRP) requirements for CY 2019, which will affect their FY 2021 Annual Payment Update (APU).
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The Centers for Medicare & Medicaid Services (CMS) will host their next skilled nursing facilities (SNF)/long term care (LTC) open door forum (ODF) on Thursday, August 6th at 2:00 PM – 3:00 PM ET.
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The Centers for Medicare and Medicaid Services (CMS) Program for Evaluating Payment Patterns Electronic Report (PEPPER) furnishes provider-specific Medicare data statistics for discharges/services vulnerable to improper payments.
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The Centers for Medicare & Medicaid Services (CMS) is planning to restart most Medicare fee-for-service medical reviews by August 3rd.
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AHCA/NCAL has launched the first phase of its Population Health Management (PHM) Innovation Lab.
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The ninth annual Summer Symposium originally scheduled for August 5-7, 2020 at the Embassy Suites Resort at Kingston Plantation, Myrtle Beach, SC will now be held virtually.
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Registration is now open for the 9th Annual Summer Symposium!
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The Effects of Social Isolation on Those Living with Dementia will be presented by Teepa Snow, MS, OTR/L, FAOTA.
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Registration is open for the 9th Annual Summer Symposium!
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Register here today for the 9th Annual Summer Symposium!
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Register here today for the 9th Annual Summer Symposium!
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Register here today for the 9th Annual Summer Symposium!
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If you missed Understanding the Medicaid Application Process & It's Impact on Cash Flow Part One and Part Two - you may now watch them on demand.
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If you missed Understanding the Medicaid Application Process & It's Impact on Cash Flow Part One and Part Two - you may now watch them on demand.
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The ninth annual Summer Symposium originally scheduled for August 5-7, 2020 at the Embassy Suites Resort at Kingston Plantation, Myrtle Beach, SC will now be held virtually.
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The ninth annual Summer Symposium originally scheduled for August 5-7, 2020 at the Embassy Suites Resort at Kingston Plantation, Myrtle Beach, SC will now be held virtually.
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To aid member facilities with navigating the CARES Act Provider Relief Fund materials, the American Health Care Association (AHCA) has prepared a general guidance document.
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NCTracks will soon be opening their annual provider survey.
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Two short months ago, no one could have imagined how life-altering the term COVID-19 would be for everyone.
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Two short months ago, no one could have imagined how life-altering the term COVID-19 would be for everyone.
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The Social Security Administration recently issued an update that beneficiaries who have their regular monthly payments managed for them by another person, called a representative payee, will begin receiving their economic impact payments (EIPs) from the IRS in late May.
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CMS said it will fix a glitch in the new Patient-Driven Payment Model (PDPM).
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A vast majority of nursing facilities have received funds through the CARES Act.
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The updated List of Excluded Individuals and Entities (LEIE) database file, which reflects all OIG exclusions and reinstatement actions up to, and including, those taken in April 2020 has been posted.
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The Minimum Data Set (MDS) is the foundation for resident care planning in long term care, but it is also used to generate reimbursement rates under Medicare Part A and the North Carolina Medicaid program.
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The Minimum Data Set (MDS) is the foundation for resident care planning in long term care, but it is also used to generate reimbursement rates under Medicare Part A and the North Carolina Medicaid program.
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The Minimum Data Set (MDS) is the foundation for resident care planning in long term care, but it is also used to generate reimbursement rates...
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The Minimum Data Set (MDS) is the foundation for resident care planning in long term care, but it is also used to generate reimbursement rates under Medicare Part A and the North Carolina Medicaid program.
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The Minimum Data Set (MDS) is the foundation for resident care planning in long term care, but it is also used to generate reimbursement rates under Medicare Part A and the North Carolina Medicaid program.
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If you missed Managing Reimbursement and Quality Metrics three-part webinar series with speaker Robin Hillier - you may now purchase and watch them on-demand.
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If you missed Managing Reimbursement and Quality Metrics three-part webinar series with speaker Robin Hillier - you may now purchase and watch them on-demand.
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If you missed Managing Reimbursement and Quality Metrics three-part webinar series with speaker Robin Hillier - you may now purchase and watch them on-demand.
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If you missed Managing Reimbursement and Quality Metrics three-part webinar series with speaker Robin Hillier - you may now purchase and watch them on-demand.
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Palmetto GBA is excited to present their first ever Medicare Part A Spring Virtual Tour for Jurisdictions J and M.
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NC Medicaid, throughout the COVID crisis, has released numerous special bulletins concerning waivers, clarifications, rate modifications and others.
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Expedited Hardship Advances and Retroactive Targeted Rate Increases for Skilled Nursing Facilities and Adult Care Homes Serving COVID-positive Patients.
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Based on COVID related questions from our members and the need to deliver this information in a timely manner, we have scheduled a webinar for Thursday, May 7th.
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Based on COVID related questions from our members, we have scheduled a webinar for Thursday, May 7th.
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If you missed last week’s COVID Related MDS Coding and Medicare Reimbursement webinar, you can now watch the recorded version on demand!
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The federal government has added an attestation portal to the CARES Act Provider Relief Fund website.
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Near the end of March, NC Medicaid announced a 5% rate enhancement to the Medicaid rate due to the COVID crisis.
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NCHCFA continues to work with NC Medicaid on additional funding.
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CMS has been hosting regular calls with a variety of clinicians, hospitals, and other facilities in an effort to keep stakeholders updated on our COVID-19 efforts.
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As a reminder, State law requires that all skilled nursing facilities that receive any state funds for the provision of health care services (e.g. Medicaid, Healthchoice, State Health Plan, etc.) connect and submit patient demographic and clinical data to NC HEALTHCONNEX by June 1, 2020.
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Palmetto GBA, the Medicare Administrative Contractor for North Carolina, has several resources for Medicare participating providers.
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As a replacement for our in-person education seminars due to COVID-19, NCHCFA will begin our distant learning education next month.
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As a replacement for our in-person education seminars due to COVID-19, NCHCFA will begin our distant learning education next month. Join us for our upcoming virtual seminar, Understanding the Medicaid Application Process & It’s Impact on Cash Flow.
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As a replacement for our in-person education seminars due to COVID-19, NCHCFA will begin our distant learning education next month.
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As a replacement for our in-person education seminars due to COVID-19, NCHCFA will begin our distant learning education next month.
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As a replacement for our in-person education seminars due to COVID-19, NCHCFA will begin our distant learning education next month.
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As a replacement for our in-person education seminars due to COVID-19, NCHCFA will begin our distant learning education next month.
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The Paycheck Protection Program is a loan designed to provide a direct incentive for small businesses to keep their workers on the payroll.
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Members have been asking if CMS has made any changes to the MDS coding guidance associated with item O0100M – Isolation for active infectious disease (does not include standard precautions) which is located in Chapter 3 of the MDS 3.0 RAI Manual v 1.17.1 October 2019.
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The NC Division of Health Benefits (DHB) has published two more Medicaid Bulletin articles related to COVID-19:
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NC Medicaid has created an expedited hardship payment advance process for nursing facilities caring for COVID-19 positive residents.
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In the past several days, a number of questions regarding the CARES Act Provider Relief Fund have appeared.
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Recently, CMS released guidance to states on Medicaid-related COVID-19 issues.
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Recently, we have received several calls from providers concerned that funds were unexpectedly recouped from their most recent Medicaid checkwrite.
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With visitation restrictions in place, several providers have had questions on the use of electronic signatures for Medicaid purposes.
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From January 26 through February 16, 2020, a software issue caused Medicare Skilled Nursing Facility (SNF) claims to be incorrectly cancelled with a message that there was no three-day qualifying hospital stay.
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CMS has issued a waiver of the three-day stay required to trigger SNF Medicare coverage.
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The Centers for Medicare & Medicaid Services (CMS) is delaying the Minimum Data Set (MDS) 3.0 v1.18.1 release, which had been scheduled for October 1, 2020, in response to stakeholder concerns.
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The April issue of the Medicare Advisory is now available.
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In consideration of the current crisis, Palmetto GBA has announced an extension for the filing of certain Medicare cost reports.
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In keeping with CMS guidance restricting visitors in nursing facilities, due to the continuing threat of COVID-19, NC Medicaid has made the decision to suspend MDS validation reviews through the end of April.
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The Centers for Medicare & Medicaid Services (CMS) has authorized nationwide waivers under §1812(f) of the Social Security Act retroactive to March 1, 2020, for those impacted by COVID-19.
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There is a process through which providers can request a hardship advance from the state.
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The implementation of the Patient-Driven Payment Model (PDPM) seemed to go fairly smoothly, until providers started submitting claims.
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Palmetto GBA will host the Part A Ask the Contractor Teleconference (ACT) on Thursday, February 13, 2020, at 11:00 AM ET.
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Staffing data from July 1st through September 30th must be submitted no later than 45 days from the end of the quarter.
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Starting January 1, 2020, beneficiaries in skilled nursing facilities will see a new co-insurance amount for their SNF stay.
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If you were unable to participate on the AHCA/NCAL webinar on the Medicaid Fiscal Accountability Proposed Regulation recently released by the Centers for Medicare and Medicaid Services (CMS) this week, a recording of the webinar is available here.
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The 21 month transition period will end on December 31st, so make sure you are using Medicare Beneficiary identifiers (MBIs) now.
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The SNF Value Based Purchasing (VBP) Program rewards skilled nursing facilities (SNFs) with incentive payments based on the quality of care they provide to Medicare beneficiaries, as measured by a hospital readmissions measure.
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The updated List of Excluded Individuals and Entities (LEIE) database file, which reflects all OIG exclusions and reinstatement actions up to, and including, those taken in November 2019 has been posted.
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The 21 month Medicare Beneficiary identifier (MBI) transition period ends in two weeks.
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The Fair Rental Value (FRV) Medicaid rate component pays providers for their building, land and equipment.
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The updated List of Excluded Individuals and Entities (LEIE) database file, which reflects all OIG exclusions and reinstatement actions up to, and including, those taken in December 2019 has been posted.
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Requests to change Medicare Beneficiary Identifiers (MBIs) can occur if a Medicare beneficiary, their authorized representative, or CMS suspects a number is compromised.
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On Nov. 18, 2019, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule entitled Medicaid Fiscal Accountability Proposed Rule that would significantly impact the nation’s Medicaid program.
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Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) initial claims that are processed out of sequence are not paying the correct Variable Per Diem (VPD)-adjusted rate.
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The updated List of Excluded Individuals and Entities (LEIE) database file, which reflects all OIG exclusions and reinstatement actions up to, and including, those taken in February 2020 has been posted.
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Training key staff to be ICD-10 proficient is critical. Inaccurate ICD-10 coding can negatively impact a facility’s bottom line and resident care. The American Health Care Association (AHCA) and the American Health Information Management Association (AHIMA) are offering ICD-10 on-line training.
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Understanding the opportunities and challenges presented to investors and operators can give us a clear view of what's on the horizon for the Skilled Nursing Sector, helping us to better prepare for the future.
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NCHCFA has scheduled our Financial Summit for November 19-21, 2019 in Raleigh, NC.
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The North Carolina Department of Health and Human Services yesterday announced that managed care implementation and open enrollment for NC Medicaid must be suspended.
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The American Health Care Association (AHCA) launched a revised ACO toolkit and accompanying pre-recorded webinars for their members.
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NCHCFA proudly presents MDS and Beyond- Managing Reimbursement and Quality Metrics scheduled in two different locations: March 17th in Raleigh, NC and March 19th in Asheville, NC.
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NCHCFA proudly presents MDS and Beyond- Managing Reimbursement and Quality Metrics scheduled in two different locations: March 17th in Raleigh, NC and March 19th in Asheville, NC.
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NCHCFA proudly presents The MDS and Beyond scheduled in two different locations: March 17th in Raleigh, NC and March 19th in Asheville, NC.
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Following the reports that COVID-19 is spreading, we feel it is necessary for NCHCFA to cancel the MDS and Beyond Seminars next week in Asheville and Raleigh as well as Regulatory Basics in Long Term Care 3-day program March 31-April 2 in Durham.
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This is a reminder that NCHCFA has cancelled MDS and Beyond seminars that were scheduled this week as well as Regulatory Basics in Long Term Care program March 31-April 2 in Durham.
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We're thrilled to announce that Financial Summit has been approved for Continuing Education!
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Unlike other events that NCHCFA has held over the years, this conference focuses on topics having a direct connection to the financial aspects of owning and operating a successful nursing facility.
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NCHCFA has scheduled our Financial Summit for November 19-21, 2019 in Raleigh, NC.
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Yesterday, the Centers for Medicare & Medicaid Services (CMS) posted the long awaited claims processing, benefit policy and entitlement manual updates for Patient-Driven Payment Model (PDPM) implementation.
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Change Request (CR) 11513 contains updates to handle Veterans Administration (VA) demonstration claims under the SNF Patient Driven Payment Model (PDPM).
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NCHCFA has scheduled our Financial Summit for November 19-21, 2019 in Raleigh, NC. The agenda has also been released earlier this week.
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On September 26, 2019, the Centers for Medicare & Medicaid Services (CMS) issued updated guidance to Medicare Advantage (MA) plans regarding encounter data coding requirements associated with the implementation of the Payment Driven Payment Model (PDPM) on October 1.
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On October 1st, the Patient-Driven Payment Model (PDPM) became the Medicare Part A fee-for-service payment system for Skilled Nursing Facilities.
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The Patient-Driven Payment Model (PDPM) starts October 1. Under PDPM, many of the resident assessments that were required for Medicare will no longer need to be completed.
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NCHCFA has scheduled our Financial Summit for November 19-21, 2019 in Raleigh, NC.
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The Patient-Driven Payment Model (PDPM) will start on October 1. This is less than one week away! Here are some resources that are available to you.
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Are you ready for the Patient-Driven Payment Model (PDPM) to start on October 1? The American Health Care Association (AHCA) has many resources to help you prepare.
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The new SNF PPS SYSTEM, PDPM, will cover all SNF Medicare days starting on October 1, 2019. PDPM requires an acceptable ICD-10 diagnosis code to...
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The following is a message from American Health Care Association (AHCA) President and CEO Mark Parkinson that was released this past Monday...
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On October 1st, 2019 the new Patient-Driven Payment Model (PDPM) is replacing the Resource Utilization Group, Version IV (RUG-IV) for the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). The Centers for Medicare & Medicaid Services (CMS) has videos to help you prepare...
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