by Proactive LTC Consulting | Jun 3, 2020 | COVID-19, PDPM, Reimbursement, Telehealth
Q: I understand that CMS has approved telehealth services for outpatient therapy as billable on institutional claims (UB-04). Are we still restricted from utilizing telehealth therapy services for our Medicare Part A beneficiaries? A: The Centers for Medicare... by Proactive LTC Consulting | May 19, 2020 | Blog, CMS, Compliance, COVID-19, Medical Review, PDPM, Reimbursement
Throughout the COVID-19 pandemic, regulatory guidance, reimbursement waivers, and state requirements evolved quickly. Tracking these changes and implementing or updating facility processes to comply was a challenge on the best day. Add to the mix weeks of prolonged... by Proactive LTC Consulting | May 13, 2020 | Blog, CMS, Coding, ICD.10, MDS, PDPM, Reimbursement
After 1000 PDPM coding audits completed since the PDPM transition, there are many trends our audit team has identified. This week’s blog highlights specific tips for selecting the primary diagnosis in Section I0020B based on common missed opportunities and errors... by Proactive LTC Consulting | Apr 15, 2020 | Blog, COVID-19, Education, Reimbursement
In response to increased expenses related to the COVID-19 response, financial relief to nursing homes is being released as part of the COVID-19 Stimulus Package. Spending for PPE and supplies; establishing isolation units, hazard pay or other staff incentives,... by Proactive LTC Consulting | Apr 15, 2020 | Blog, COVID-19, Education, Reimbursement
Q: Who can bill for the Medicare specimen collection fee for COVID-19 testing ? A: Independent laboratories can bill Medicare through their MAC for the specimen collection fee. The specimen collection fee applies if the specimen is collected by trained... by Proactive LTC Consulting | Apr 1, 2020 | Blog, COVID-19, Education, Medicaid, Reimbursement
Q: What is an advance payment and how do I apply for one? A: An accelerated/advance payment is a payment intended to provide necessary funds when there is a disruption in claims submission and/or claims processing. These expedited payments can be offered in...