by Proactive LTC Consulting | Nov 5, 2019 | CMS, Medicare, Physicians
Medicare Final 2020 Physician Fee Schedule (PFS) Released & Rule Includes Challenges for Part B Therapy Providers CMS released the final 2020 Medicare Physician Fee Schedule on November 1, 2019 which includes updates to payment policies, rates and quality... by Proactive LTC Consulting | Oct 22, 2019 | CMS, Medicare
CMS Will Continue to Report RUG-III and RUG-IV HIPPS Codes, as Requested by the State, Until September 30, 2020 As of October 1, 2019, all scheduled PPS assessments (except the 5-day) and all unscheduled PPS assessments were retired. If you’re in a Medicaid case-mix... by PMR Team | Oct 1, 2019 | 5-Star, Hospitals, Medicare, Regulatory, SNF
It’s important that your local hospital discharge planners understand your quality measure data September 26th, CMS issued a final rule requiring hospitals to provide patients greater access to information about available post-acute provider choices as part of... by PMR Team | Oct 1, 2019 | MDS, Medicare, PDPM, Reimbursement, SNF
IPA is an optional SNF PPS stand-alone MDS item set under PDPM The Interim Payment Assessment (IPA) is an optional SNF PPS stand-alone MDS item set under PDPM. The IPA can be completed when providers determine that the resident has experienced changes to his or her... by PMR Team | Sep 17, 2019 | Medicare, PDPM, Reimbursement
What does PDPM mean for Medicare Part A beneficiaries who will reside in the facility under both payment models? RUG-IV comes to a hard stop at 11:59pm on September 30th, 2019 and will be replaced with the Patient Driven Payment Model at 12:00am on October 1st. What... by PMR Team | Aug 21, 2019 | Hospitals, Medicare, PDPM, Physicians, Reimbursement, SNF
Factors Impacting Reimbursement Become More Complex Under PDPM, the factors impacting reimbursement become more complex. Supportive documentation should reflect this complexity through descriptions of the relevant care and services impacting each of the five payment...