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SNF CONSOLIDATED BILLING WEBINAR

A skilled nursing facility (SNF) consolidated billing webinar has been scheduled by the Centers for Medicare & Medicaid Services (CMS) and Palmetto GBA at 11:00 ET on June 29, 2021. Read More

SNF CONSOLIDATED BILLING WEBINAR

A skilled nursing facility (SNF) consolidated billing webinar has been scheduled by the Centers for Medicare & Medicaid Services (CMS) and Palmetto GBA at 11:00 ET on June 29, 2021. Read More

REPAYMENT OF COVID-19 ACCELERATED AND ADVANCE PAYMENTS

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. Read More

MEDICARE COST REPORT FILING EXTENSION

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. Read More

CMS UPDATES GUIDANCE FOR MEDICARE PART A SNF PPS PDPM CLAIMS

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. Read More

AHCA/NCAL EDUCATION OPPORTUNITY

AHCA/NCAL has launched a new online course titled Functional Outcomes Improvement that provides specialized on-line training offered through ahcancalED for all staff who have a role in improving patient functional outcomes quality and services. Read More

CMS RESUMES RELEASE OF SNF PEPPER REPORTS

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. Read More

PALMETTO GBA RESOURCES

Palmetto GBA, the Medicare Administrative Contractor for North Carolina, has several resources for Medicare participating providers. Read More

SNF MEDICARE CLAIMS INCORRECTLY CANCELLED

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. Read More

MEDICAL REVIEW ADMINISTRATIVE RELIEF

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. Read More

SNF VALUE BASED PURCHASING

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. Read More

SNF PDPM CLAIMS ISSUE

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. Read More

AHCA REVISED ACO TOOLKIT

The American Health Care Association (AHCA) launched a revised ACO toolkit and accompanying pre-recorded webinars for their members. Read More