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Vol. 16, Issue 7, July 01, 2014
Jul 01, 2014
 | 
Billing Alert for Long-Term Care

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.

Jul 01, 2014
 | 
Billing Alert for Long-Term Care

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.

Jul 01, 2014
 | 
Billing Alert for Long-Term Care

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 omacdonald@hcpro.com.

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