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 17, 2020NEW COVID ICD-10 Coding Updates Effective Jan 1, 2021QRM’s Clinical Reimbursement Specialist, Megan Ussery, RN, RAC-CT has provided Clarification surrounding CMS’ new additions to COVID...
Dec 10, 2020Urgent Advocacy Needed to #FighttheCutDecember 10th, Senator Boozman (R-AR) introduced S.5007 the companion bill to H.R. 8702 – Holding Providers Harmless From Medicare Cuts...
Dec 4, 2020CMS 12/4 Memorandum-Updates to Nursing Home Compare & 5 Star Resumption of Data Collection/ReportingCMS has published Updates to the Nursing Home Compare Website and Five Star Quality Rating System (12/4/2020 Ref: QSO21-06-NH), resuming...
Nov 28, 2020Stop Medicare Cuts - Advocacy Needed in Support of Pending Legislation Jan 1, 2021 Medicare Fee Schedule Cuts are scheduled to take place reducing PT/OT reimbursement by an estimated 7% and ST by 9%. There...
Nov 24, 2020FY 2021 PDPM Rate Updates (effective 10/1/2020) - (Bonus Rate Calculator Included)October invoicing marks the beginning of FY 2021. CMS has made several adjustments impacting accurate rate calculations - which go into...
Sep 10, 2020Backing Up Section GG for PDPM - A Medical Review PerspectiveFrom QRM’s office of Medical Review Author: Ashley Duggan, OTR, RAC-CT, Vice President of Medical Review and Clinical Compliance With...
Aug 29, 2020Managing Your Address on File with Your MACFrom QRM’s office of Medical Review Author: Ashley Duggan, OTR, RAC-CT, Vice President of Medical Review and Clinical Compliance Per...
Aug 14, 2020Advanced Beneficiary Notice (ABN) Update – DELAYED: Deadline for use pushed to 1/1/21From CMS.gov 6/24/2020 – Beneficiary Notices Initiative: Note: Skilled nursing facilities (SNFs) issue the ABN to transfer potential...
Aug 5, 2020CMS’ CY 2021 Fee Schedule Proposed ReductionAugust 3rd, CMS released the Proposed 2021 (eff 1/1/21) Medicare Physician Fee Schedule, to be published in the August 17th Federal...
Jul 23, 2020Fee for Service Medical Review Expected to Resume August 3, 2020From QRM’s office of Medical Review: Per an updated FAQ, CMS has provided notification of anticipated resumption of the medical review...
Jul 9, 2020QRP Non-Compliance Reports Available Now - Potential Impact to 2021 Annual Payment Update (APU)Amidst the COVID dominance in our lives, July 13, 2020, non-compliance notifications were placed into SNF’s CASPER folders in QIES based...
Jul 1, 2020MAC Reprocessing of Part BQRP Non-Compliance Reports Available Now - Potential Impact to 2021 Annual Payment Update (APU) Amidst the COVID dominance in our lives,...
Apr 28, 2020Questions to Ask Prior to Skilling in Place, Without a 3-Day Qualifying Hospital StayAs we move forward utilizing waivers in our efforts to contain the spread of COVID and preserve acute care capacity, we realize our...
Apr 10, 2020COVID-19 Dx Code Effective 4/1/2020CDC has announced a new COVID-19 Dx Code: U07.1 Acute Respiratory Disease. This will fall into the Pulmonary PDPM Category (see attached...
Mar 31, 2020CMS call notes with COVID updates from industry leadersWednesday’s call hosted by CMS’ Alina Czekai included a panel of Industry Leaders who shared some of their critical approaches and best...
Mar 26, 2020A Bit of Good News – Your Voices Matter!Two positive items came across this week we wanted to pass along as a result of Your Voices! TRICARE Released the Final Rule for Physical...
Mar 17, 2020March 17th CDC Call Recap: Coronavirus Disease (COVID-19) Update and Information for LTC FacilitiesSharing a few key points presented on March 17th’s CDC Clinician Outreach and Communication Activity (COCA) Webinar: Additional...
Mar 10, 2020COVID-19: Protecting our Most Vulnerable – CMS’ announcements, 3-day waiver and more…President Trump’s National Emergency Declaration, Friday the 13th provided clarification surrounding dramatic changes to our SNF setting...
Mar 3, 2020CMS Update: PDPM Variable Per Diem Calculation Errors - ResolutionFeb 27th, CMS issued the below statement in their MLN Newsletter (link included below) SNF PDPM Claims Issue: Skilled Nursing Facility...