5 days ago2% Sequestration Reminder, effective July 1, 2022As CMS reminded providers in December 2021, Medicare Fee-For-Service claims will be subject to full 2% sequestration, effective 7/1/22:...
May 13Tips for Navigating Beneficiary Notices CMS Beneficiary Notices have been a requirement for over a decade. There have been recent form changes for dual-eligible (Medicare Part A...
Apr 18CMS Revises Institutional Provider Recovery Audit Contractor (RAC) Additional Documentation Request CMS has announced the revision of Recovery Audit Contractor (RAC) ADR limits, effective May 1, 2022. Historically, the baseline annual...
Apr 13CMS BREAKING NEWS - HHS Extends COVID-19 Public Health Emergency (PHE) an Additional 90 DaysThe Public Health Emergency (PHE) has been renewed for an additional 90 days. The new expiration date is set for Friday, July 15th, 2022....
Apr 11CMS Update to COVID-19 Emergency Declaration Blanket Waivers Related to SNFsOn April 7th, CMS released a memorandum (QSO-22-15-NH & NLTC & LSC) ending specific COVID-19 waivers in two groups, one within 30 days...
Mar 31Telehealth Extension and the Public Health EmergencyCMS has provided a 151-day extension waiver for all Telehealth services beyond the end of the Public Health Emergency (PHE), currently...
Feb 15Submission Cut Off Date for QRP Calculation for 2021 Q3 AssessmentsAll data for the current QRP reporting period is due no later than 11:59 pm on February 15th, 2022. We hope you find the below resources...
Jan 21Public Health Emergency (PHE) Extended to April 16, 2022On January 14th, Xavier Becerra, Secretary of Health and Human Services signed an extension of the Public Health Emergency (PHE). The new...
Jan 7SNF QRP and Public Reporting on Care Compare UpdateCMS has provided an updated SNF QRP Public Reporting Tip Sheet. The SNF QRP was established under the Improving Medicare Post-Acute Care...
Dec 1, 2021Capturing Reimbursement - The Importance of Triple Checking Part B ClaimsWhy triple check Part B claims? Historically, the month-end triple check process has focused on Part A claims, incorporating a random...
Nov 8, 2021CMS Part B Physician Fee Schedule (PFS) Finalized - Assistant Reimbursement ReductionCMS has released the CY 2022 Medicare Physician Fee Schedule (PFS) Final Rule on 11/2/21 (CMS-1751-F). https://www.cms.gov/newsroom/fact-...
Oct 25, 2021Advocacy Action Needed on Assistant CutsNASL has again provided specific talking points and a prepared link to facilitate our unified voices in support of legislation that would...
Oct 25, 2021FY 2022 Updated PDPM Rate CalculatorAs we launch into our first month-end close of FY 2022, click here to find the updated QRM/Data IQ PDPM Rate Calculator tool. Based on...
Oct 19, 2021Public Health Emergency (PHE) ExtensionFriday, October 15, the US Department of Health and Human Services Secretary, Xavier Becerra, renewed the Public Health Emergency through...
Aug 20, 2021Advocacy Needed to Avoid 2022 Therapy Related Fee Schedule CutsThis is an urgent call for advocacy letters from individuals and organizations requesting CMS’ reconsideration of the 15% proposed CY...
Aug 12, 2021CMS Announces Resumption of Targeted Probe & Educate ProgramWith CMS’ 8/12/21 notification of resumption of the Targeted Probe & Educate Program, providers should prepare to receive probe...
Aug 10, 2021QRP Data Submission - Details and a HelplineThursday, July 29th, CMS released their FY 2022 Final Rule. A few of the highlights impacting skilled nursing facilities include:...
Aug 2, 2021CMS' Final Rule Release – Impacting FY 2022 (CMS-1746-F)Thursday, July 29th, CMS released their FY 2022 Final Rule. A few of the highlights impacting skilled nursing facilities include: Payment...
Jul 27, 20215 Star, QMs, and PBJ Data Updates5 Star, QM’s and PBJ data updates have been released. Last week, we shared that QRP’s were released for review. All are critical...
Jul 21, 2021CMS Notification of QRP Compliance - Financial Implication for FY 2022CMS has provided notifications to facilities that were determined to be out of compliance with Quality Reporting Program (QRP)...