Nov 07, 2019
 | 
The Bottom Line

Each year, the OIG identifies healthcare programs that are vulnerable to fraud, waste, and abuse through erroneous claims. Using claim sampling techniques and audits, the OIG identifies billing vulnerabilities and
concerns specific to SNFs. Results of these vulnerabilities are published as reports or listings of common errors and should be analyzed to determine whether they are concerns for your facility.

Nov 07, 2019
 | 
The Bottom Line

AMBR members have access to the new and improved members forum, where members can chat online about billing topics and find answers and advice as well as share best practices and experiences. Recently, members have discussed:

  • Billing for therapy on discharge day
  • PGBA denial
  • Billing for the time therapists care plan

If you would like to join these conversations or start your own, sigin in here. The log in is the same as your AMBR log in credentials.

Nov 01, 2019
 | 
Billing Alert for Long-Term Care

CMS issued its final rule, Fiscal Year 2020 Payment and Policy changes for Medicare Skilled Nursing Facilities (CMS-1718-F), in July. The new payment rule aims to “strengthen the Medicare program by better aligning payment rates for these facilities with the costs of providing care and increasing transparency so that patients are able to make informed choices.” Within the rule are three major updated provisions that will affect the operation of SNFs: the Prospective Payment System (PPS) payment policy, the Value-Based Purchasing Program (VBP), and the Quality Reporting Program (QRP).

Oct 24, 2019
 | 
The Bottom Line

Join Reg Hislop on Thursday, October 31 at 12pm EST as he discusses how to maximize revenue and minimize risk under PDPM. Register here.

More about AMBR quarterly calls
Each quarter, AMBR Director Tami Swartz will host a presentation with industry experts to discuss a variety of relevant and timely topics, including industry trends, updates, and best practices. Our members will receive guidance from, share opinions with, and have their questions answered by Medicare billing and reimbursement experts! AMBR members are welcome to present during these webcasts. Contact Tami Swartz at tswartz@hcpro.com if you are interested in being one of our volunteer speakers!

Pages

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.

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jfitzgerald@hcpro.com
jfitzgerald@hcpro.com
tswartz@hcpro.com