In Billing
Jan 31st, 2019
The Centers for Medicare & Medicaid Services (CMS) revised its Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN), last spring, and at the same time discontinued five Skilled Nursing Facility (SNF) Denial Letters. Here are the details, in case you missed them. An Updated Advanced Beneficiary Notice MLN Matters MM10567 Revised, effective April ...
In ICD-10
Jan 23rd, 2019
Mandy Roth of Healthcare Leaders asked readers what they expected in the immediate future (2019) in virtual care, and if any trends can be predicted. As a result, three key issues stood out: Growth in virtual care will be spurred on by changes in reimbursement over the coming year. The changes in reimbursement started in ...
Adhere to the Medicare requirements and bundling rules for SNF coverage payment. If you don’t work in a skilled nursing facility (SNF), you may not understand how SNF consolidated billing (CB) affects you. The way you answer the following two questions may help you to see the connection: Have you ever had a Medicare patient ...
In Billing
May 23rd, 2018
Starting Oct. 1, hospital discharges to hospice care qualify as a post-acute care transfer and may have payment adjustments for Medicare patients. According to the Centers for Medicare & Medicaid Services (CMS) Transmittal 2055, change request 10602, under the policy regulations § 412.4: * When a patient is transferred to another hospital and their stay ...
In Billing
May 14th, 2018
Newly-released proposed rules provide a preliminary view of the fiscal year (FY) 2019 payment and policy updates to the Medicare program for hospices, inpatient psychiatric facilities, skilled nursing facilities, and inpatient rehabilitation facilities. The Centers for Medicare & Medicaid Services (CMS) released the four proposed rules on May 8. Hospice Update and Reporting Requirements This pr...