Aug 01, 2013
Billing Alert for Long-Term Care

In May, CMS released a proposed rule concerning Medicare ­payment and policy changes for SNFs for fiscal year 2014. The proposed rule ­includes a 1.4% increase (or $500 million) to the PPS system, which accounts for a 2.3% market basket increase, minus 0.5% forecast error correction and a 0.4% multifactor productivity adjustment outlined in the Affordable Care Act.

Jul 01, 2013
Billing Alert for Long-Term Care

Healthcare providers should be at least slightly relieved about the latest update from CMS regarding additional documentation requests (ADR). The recent announcement indicated that new limits will decrease the volume of documentation requests that Recovery Auditors are allowed to make.

Apr 01, 2013
Billing Alert for Long-Term Care

The Common Working File (CWF), one of the primary tools utilized by CMS to maintain national Medicare records, determine eligibility of individuals, and track usage of Medicare benefits, is on its last leg. In a September 2012 issue of MLN Matters, CMS announced that it would be replacing the CWF with the HIPAA Eligibility Transaction System (HETS) to track beneficiary information.


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