In April, the U.S. Department of Health and Human Services confirmed its intent to delay the ICD-10 compliance deadline, originally set for October 1, 2014. The new deadline for implementation will be October 1, 2015.
Errors in Medicare billing can cost your facility a huge amount of money. They can also trigger a Medicare review or audit. The easiest way to avoid potential problems in the claims billing process is to implement regular triple-check meetings.
Unlike the government-run traditional Medicare option, the current Medicare Advantage (MA) program requires CMS to contract with private health plans on a prospective payment basis. These health plans then contract with individual medical groups as well as preferred provider networks to deliver the care that beneficiaries would customarily be entitled to when enrolled under the traditional Medicare program.
On May 1, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule [CMS-1605-P] outlining proposed Fiscal Year (FY) 2015 Medicare payment rates for skilled nursing facilities (SNFs). The FY 2015 proposals and other issues discussed in the proposed rule are summarized below.
Editor's note: This month's "Q&A" was modified from the HCPro book ICD-10 Essentials for Long-Term Care, written by Karen L. Fabrizio, RHIA, CPRA. ICD-10 Essentials for Long-Term Care provides you with a three-step plan that takes you from understanding the differences between ICD-9 and ICD-10 to full-scale ICD-10 readiness at your facility. For more information or to order, call customer service at 800-650-6787 or visit www.hcmarketplace.com. To submit a question for upcoming issues, email Managing Editor Olivia MacDonald at email@example.com.