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...
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...
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,...
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...
Feb 29, 2020Outcomes Matter! Representing True Baseline and DC – determining the future of PDPM changes and moreMark Parkinson, President of AHCA recently shared that from all indications, it is too soon for CMS to determine the impact of PDPM in...
Feb 6, 2020January 1, 2020 PT/OT Modifiers Raising QuestionsAs billing is underway for January services, we thought we’d recirculate the Assistant Modifier Requirements that went into effect for...
Jan 16, 2020Therapy Edits Reversed!In response to a massive advocacy campaign, CMS made the decision to delete limiting edits that were put in place 1/1/2020. As a result,...
Jan 1, 2020Problematic CPT Code Billing Edits Effective 1/1/2020For our long-term care residents (Medicare Part B), billing for PT, OT and ST services is submitted utilizing CPT codes delivered. On...
Nov 29, 2019Phase 3 Requirements of Participation (RoP) - 11/28/19 Effective Date CMS’ Director, Division of Nursing Homes – Evan Shulman provided some clarity around the Phase 3 Requirements of Participation eff date...
Nov 1, 2019Meeting Skilled Requirements Re-VisitedSome things have drastically changed in our Medicare world while others just need a little dusting off. One of the topics we are...