Oct 18, 2019
 | 
The Bottom Line

Find your copy of our exclusive AMBR Journal here. This quarter's issue contains in-depth features on:

MDS coordinators to take on quality
The onset of the PDPM marks another evolution for the MDS and MDS coordinators.

Experts uncover little-known risks and opportunities in PDPM
AMBR asked five long-term care experts to share key PDPM opportunities and risks that SNF providers may not have considered leading up to the transition.

Limit financial risk by enlisting billers to forecast profitability prior to admission
Determining and tracking the profitability of each potential new patient will be key to protecting the SNF’s bottom line in PDPM.

Consolidated billing made simple: Manage relationships
Proactively manage relationships with outside patients and external service providers to avoid costly consolidated billing mistakes

Oct 11, 2019
 | 
The Bottom Line

Proposed legislation H.R. 1309 would require SNFs, among other healthcare organizations, to develop and implement plans to prevent and protect against workplace violence. The plans, at a minimum, would have to be based on the Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers published by the Occupational Safety and Health Administration in 2016 and meet other requirements in the bill.

Oct 04, 2019
 | 
The Bottom Line

The Department of Justice (DOJ) announced plans to pursue criminal charges against SNFs accused of violating the False Claims Act, according to Bloomberg Law. In the past, these violations have been treated subject to civil penalties, but the DOJ will now bring criminal charges against more egregious offenders.

Oct 04, 2019
 | 
The Bottom Line

Are you in compliance with Qualified Medicare Beneficiary (QMB) billing requirements? People with Medicare who are in the QMB program are also enrolled in Medicaid and get help with their Medicare premiums and cost-sharing. Medicare providers may not bill people in the QMB program for Medicare deductibles, coinsurance, or copays, but state Medicaid programs may pay for those costs. Providers who inappropriately bill individuals enrolled in QMB are subject to sanctions.

Sep 26, 2019
 | 
Billing Alert for Long-Term Care

CMS announced proposed changes to the Medicare long-term care requirements that would reform “unnecessary, obsolete, or excessively burdensome” requirements for SNFs on July 17. The proposed rule, “Medicare & Medicaid Programs; Requirements for Long-Term Care Facilities: Regulatory Provisions to Promote Efficiency and Transparency” (CMS-3347-P), fueled by the Trump administration, aims to reduce red tape surrounding SNF compliance and regulations.

Sep 19, 2019
 | 
The Bottom Line

CMS will hold an open door forum on September 19 for SNFs and LTCs. Discussions will focus on:

  • PDPM updates
  • PBJ updates
  • MS-6058-FC Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process
  • SNF QRP resource update

If you wish to participate, dial 1-888-455-1397. Conference ID: 4676500

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 15, 2019 - 07:00

2019 Revenue Integrity Symposium

The 2019 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.

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