Question: What does the Centers for Medicare & Medicaid Services (CMS) say about long-term care staff working remotely? Our facility’s clinical social worker has requested the privilege, but she completes many sections of the MDS for residents. Does it change [...]
Access Information on PDPM Resources. Did you miss the Medicare Learning Network Dec. 11 call on the Patient-Driven Payment Model (PDPM) hosted by Penny Gershman, John Kane, and Todd Smith? You can find a PDF of the presentation materials linked [...]
Compilation of RAC findings, ZPIC audits, and MAC errors shows you which Part B mistakes you should avoid. Wondering if consolidated billing issues still persist in Medicare's eyes? CMS's "Medicare Quarterly Provider Compliance Newsletter" aims to answer that question by [...]
Compilation of RAC findings, ZPIC audits, and MAC errors shows you which Part B mistakes you should avoid.Wondering if consolidated billing issues still persist in Medicare's eyes? CMS's "Medicare Quarterly Provider Compliance Newsletter" aims to answer that question by outlining [...]
June brings first deadline. If you’re in the grips of phase one of Med-icare’s new competitive bidding program, don’t focus solely on your bid between now and the close of the bidding window. These competitive bidding concerns demand your immediate [...]
Put the plug in this potential payment drain.What little the PPS giveth for some RUGs, consolidated billing can quickly take away--especially if you don't take a proactive approach to managing high-priced services that aren't carved out of the Medicare per [...]
SNFs can keep their claims humming by noting these CB shifts. Clarifying is the name of the game, it seems, at the Centers for Medicare & Medicaid Services -- at least as far as long-term care billing is concerned. At [...]
Help your SNF know when it doesn't need to reach into its PPS pocket. Attention, MDS coordinators: When it comes to consolidated billing, do you sometimes feel like the buck stops with you in terms of knowing who should pay [...]
Got comments you'd like to share publicly on a Medicare or Medicaid reg? You can now do so with a click of the mouse at www.regulations.gov. The Web site includes links to rules published that day and comments due that [...]
Billing Every Charge Every Time Is BestQuestion: If I know a payer is going to deny a certain charge, do I need to bill it at all? Since I am familiar with which payers reimburse for certain charges and which [...]
