QRM’s Clinical Reimbursement Specialist, Megan Ussery, RN, RAC-CT has provided Clarification surrounding CMS’ new additions to COVID...

December 10th, Senator Boozman (R-AR) introduced S.5007 the companion bill to H.R. 8702 – Holding Providers Harmless From Medicare Cuts...

CMS has published Updates to the Nursing Home Compare Website and Five Star Quality Rating System (12/4/2020 Ref: QSO21-06-NH), resuming...

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...

October invoicing marks the beginning of FY 2021. CMS has made several adjustments impacting accurate rate calculations - which go into...

From QRM’s office of Medical Review Author: Ashley Duggan, OTR, RAC-CT, Vice President of Medical Review and Clinical Compliance With...

From QRM’s office of Medical Review Author: Ashley Duggan, OTR, RAC-CT, Vice President of Medical Review and Clinical Compliance Per...

From CMS.gov 6/24/2020 – Beneficiary Notices Initiative: Note: Skilled nursing facilities (SNFs) issue the ABN to transfer potential...

August 3rd, CMS released the Proposed 2021 (eff 1/1/21) Medicare Physician Fee Schedule, to be published in the August 17th Federal...

From QRM’s office of Medical Review: Per an updated FAQ, CMS has provided notification of anticipated resumption of the medical review...

Amidst the COVID dominance in our lives, July 13, 2020, non-compliance notifications were placed into SNF’s CASPER folders in QIES based...

QRP Non-Compliance Reports Available Now - Potential Impact to 2021 Annual Payment Update (APU) Amidst the COVID dominance in our lives,...

As we move forward utilizing waivers in our efforts to contain the spread of COVID and preserve acute care capacity, we realize our...

CDC has announced a new COVID-19 Dx Code: U07.1 Acute Respiratory Disease. This will fall into the Pulmonary PDPM Category (see attached...

Wednesday’s call hosted by CMS’ Alina Czekai included a panel of Industry Leaders who shared some of their critical approaches and best...

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...

Sharing a few key points presented on March 17th’s CDC Clinician Outreach and Communication Activity (COCA) Webinar: Additional...

President Trump’s National Emergency Declaration, Friday the 13th provided clarification surrounding dramatic changes to our SNF setting...

Feb 27th, CMS issued the below statement in their MLN Newsletter (link included below) SNF PDPM Claims Issue: Skilled Nursing Facility...

Mark Parkinson, President of AHCA recently shared that from all indications, it is too soon for CMS to determine the impact of PDPM in...