In Billing
Sep 13th, 2019
October 1 is a scary time for medical coders. There are fourth quarter updates to HCPCS Level II codes and code editors. Payment system and fee schedules are updated. And ICD-10-CM code changes go into effect. What’s a coder to do? Whatever you do, don’t hide under your bed. Jason’s under there (just a little Friday ...
In Billing
Apr 26th, 2019
The Patient Driven Pay Model (PDPM) will change the Skilled Nursing Facility (SNF) Prospective Payment System’s (PPS) method of classifying SNF patients in a Medicare-covered Part A stay Oct. 1.  The Centers for Medicare & Medicaid Services (CMS) provide a number of resources on their web site. Patient Driven Pay Model According to the Centers ...
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 ...