by PMR Team | May 22, 2019 | MDS, Medicare, PDPM, Reimbursement, SNF
Highlights from the new RAI release Opportunity to Review Assessment Steps and Coding Guidance CMS has released the MDS 3.0 Resident Assessment Instrument (RAI) Manual v1.17 effective for assessments with an ARD of 10/1/2019 and after. PDPM guidance and calculation... by PMR Team | Apr 9, 2019 | Compliance, Medicare, Reimbursement, SNF
PEPPER: Program for Evaluating Payment Patterns Electronic Report Skilled Nursing Facility PEPPER Available The Q4FY18 release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through September... by PMR Team | Feb 7, 2019 | Compliance, Medicare, Therapy
CMS developed The National Correct Coding Initiative (NCCI) for Medicare Part B and Medicaid claims. NCCI is an automated edit system to control Current Procedural Terminology (CPT) code pairs that can be reported on the same day. The goal is to assure therapists are... by PMR Team | Jan 17, 2019 | Consulting, Education, MDS, Medicare, PDPM, Reimbursement, SNF, Webinars
This blog has been updated. Please visit the shop to download this recording. This 1.25 hour webinar focuses on effective systems for gathering data and documenting function to support coding decisions for the MDS 3.0 Section GG. The webinar includes a review of... by PMR Team | Jan 17, 2019 | Consulting, Facility Assessment Tool, Medicare, Regulatory, SNF, Templates
Pursuant to §483.70(e) (F838), each facility must conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies. The facility must review and update... by PMR Team | Nov 16, 2018 | Consulting, Education, Medicare, Reimbursement, Therapy
On November 1, CMS finalized proposals that impact payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2019. CMS estimates that the conversation factor for CY2019 PFS...