Jan 17, 2020
 | 

Each year, the Office of Inspector General (OIG) identfies government programs under the Department of Health and Human Services that are vulnerable to waste and abuse through erroneous claims. In several recent years, the OIG’s annual Work Plan has included an item to review a sample of Medicare claims submitted by SNFs is reviewed to determine not only the accuracy of coding for Medicare Part A claims but also claims for services under Part B during a Part A SNF covered stay, calculation of Medicare days as that number relates to no-pay bills, and Minimum Data Set (MDS) accuracy.

Jan 10, 2020
 | 
Billing Alert for Long-Term Care

Ambulance transfers are extremely expensive for SNFs and their Medicare Part A–covered patients. “The high costs associated with transfers create a significant financial risk for SNFs,” says Barbara Reimer, consultant with the Fox Group.

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