by Proactive LTC Consulting | Apr 15, 2020 | CMS, IPA, PDPM, SNF
CMS issued the FY2021 SNF PPS Proposed Rule (effective October 1, 2020) on 4/10/20 with a 2.3% payment increase yielding an approximate increase of $784 million in payments to SNFS. Other changes to the code mappings for PDPM case-mix classification and updates for... by Proactive LTC Consulting | Apr 15, 2020 | Blog, COVID-19, Education, Hospitals, SNF
Q: Does the section 1812(f) waiver for the 3-day qualifying hospital stay apply only to those beneficiaries who are actually diagnosed with COVID-19, or does the waiver apply to all SNF-level beneficiaries under Medicare Part A? A: The qualifying hospital stay... by Proactive LTC Consulting | Mar 18, 2020 | Medicare, PDPM, Q&A, Regulatory, Reimbursement, SNF
Q: How should situations, in which the 3-day qualifying hospital stay normally required for a covered Medicare admission to the SNF is waived due to the national emergency, be reported on the UB04 claim form? A: Providers that receive beneficiaries without a... by Proactive LTC Consulting | Mar 17, 2020 | Education, Medicare, PDPM, SNF
With the growing concern surrounding Coronavirus (COVID-19) and the slew of emails you’re likely receiving, we want to provide you with a brief, focused summary of how this pandemic has temporarily changed our current practices and regulations surrounding our Medicare... by Proactive LTC Consulting | Mar 10, 2020 | Coding, Documentation, Education, MDS, Medical Review, PDPM, SNF
Most facilities have fared better than anticipated under Patient-Driven Payment Model (PDPM). What will this mean from the standpoint of Medicare claims audits and how should we prepare for the inevitable start of medical review activity for PDPM claims? For many... by Proactive LTC Consulting | Feb 4, 2020 | Medicare, PDPM, Q&A, SNF
Q: If a resident is cut from skilled services but a new skilled need arises during the interrupted stay window, would the facility be allowed to re-skill the resident? A: The Medicare Benefit Policy Manual, Chapter 8 states that “Another qualifying hospital...