Archives

Vol. 19, Issue 4, April 28, 2017
Apr 28, 2017
 | 
Billing Alert for Long-Term Care

Now that we’re into the first quarter of the year, it is time to take stock of the postacute/SNF landscape, particularly as it pertains to evolutionary policy initiatives now and in the future. To start, there is little evidence on the horizon of an all-out retreat on the policy changes begat by the Affordable Care Act (ACA, or Obamacare). While some framework is building to "repeal and replace" the ACA, that framework will leave fundamentally intact the changes wrought by bundled payments, value-based purchasing, and the IMPACT Act. The Republican majority, a smattering of Democrats, and the incoming secretary of HHS have signaled support for these initiatives. Should a repeal strategy move forward any time soon, they will likely remain, whether fleshed or skeletal.

Apr 21, 2017
 | 
Billing Alert for Long-Term Care

Q&A with Carol Maher, RN-BC, RAC-CT 

To receive optimal reimbursement for services, it’s essential to remove the confusion surrounding PPS scheduled and unscheduled assessments. Understand how to manage the process, including meetings to conduct, tools to implement, and ways to keep everything on track.

In a 90-minute webinar, expert Carol Maher, RN-BC, RAC-CT, helped attendees understand when and why a facility needs to perform PPS assessments and how to choose the assessment reference date (ARD) for each scheduled and unscheduled assessment to prevent payment loss. Here is an excerpt of the live Q&A that followed:

Apr 21, 2017
 | 
Billing Alert for Long-Term Care

Q&A with Carol Maher, RN-BC, RAC-CT 

To receive optimal reimbursement for services, it’s essential to remove the confusion surrounding PPS scheduled and unscheduled assessments. Understand how to manage the process, including meetings to conduct, tools to implement, and ways to keep everything on track.

In a 90-minute webinar, expert Carol Maher, RN-BC, RAC-CT, helped attendees understand when and why a facility needs to perform PPS assessments and how to choose the assessment reference date (ARD) for each scheduled and unscheduled assessment to prevent payment loss. Here is an excerpt of the live Q&A that followed:

Apr 14, 2017
 | 
Billing Alert for Long-Term Care

An alarming fact: Medicare loses more money to overbilling than any other program government-wide. The Centers for Medicare & Medicaid Services (CMS) Comprehensive Error Rate Testing (CERT) program, which is used to estimate improper payments made by Medicare, determined that more than $130 billion has been inappropriately lost by Medicare over the past three years due to improper payments. Even more disturbing, healthcare officials warn that without a change in payment distribution, the Medicare Trust Fund is on a path to becoming bankrupt by 2028.

 

Apr 07, 2017
 | 
Billing Alert for Long-Term Care

With prodding from federal officials and an industrywide shift toward delivering services based on value rather than volume, healthcare providers are making progress on reducing hospital readmission rates, federal statistics show. From 2007 to 2011, the all-cause 30-day hospital readmission rate for Medicare fee-for-service beneficiaries held steady at about 19% to 19.5%, according to the Centers for Medicare & Medicaid Services. But those rates fell to 18.5% in 2012 and 17.5% in 2013, CMS reports.

 

Quarterly Member Calls

Members-only calls

Enjoy upcoming and past Quarterly Calls with your AMBR Membership! Click here!

Access sample white papers, tools, analysis, and resources.

Featured Event

Tuesday, October 6, 2020 - 07:00

2019 Revenue Integrity Symposium

The 2020 Revenue Integrity Symposium covers topics essential to revenue integrity, Medicare compliance, and the revenue cycle in acute care and long-term care settings.

AMBR Forums

To participate in the AMBR forum discussions, you must be a member of the AMBR community. Please subscribe today or login for access.

tsadoyama
jku369@comcast.net
jku369@comcast.net
jku369@comcast.net