Sep 06, 2019
 | 
The Bottom Line

The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) penned a letter to CMS administrator Seema Verma in response to a tweet she published earlier in August. The tweet addressed the three-day rule, stating that a SNF resident must first spend three days as a hospital inpatient to be eligible for Medicare coverage, with Verma going on to call out that regulation.

Sep 06, 2019
 | 
The Bottom Line

The Revenue Integrity Symposium (RIS) brings together some of the industry’s leading experts to train on the most relevant, hot-button issues in long-term care (LTC). It also helps establish a sense of community between providers, fostering opportunities for networking and relationship-building. This year’s symposium will be held October 15–16 in Orlando.

Sep 06, 2019
 | 
The Bottom Line

CMS will be hosting an open-door forum on September 11 to discuss the status of new Medicare cards and Medicare Beneficiary Identifiers (MBI). Beginning January 2020, Medicare will only accept claims submitted with MBIs. The updated cards are designed to offer better identity protection by replacing social security numbers with unique MBIs. The new Medicare cards were mailed out in August.

Information regarding participation in the open door forum can be found here.

Aug 29, 2019
 | 
The Bottom Line

The Revenue Integrity Symposium (RIS) will bring opportunities for financial professionals to gain knowledge in their field by learning about what other experts have to say and what best practices may be beneficial for the Patient-Driven Payment Model (PDPM) transition. This year’s symposium will be held October 15–16 in Orlando.

There are a variety of PDPM sessions that will be beneficial to finance professionals in the long-term care (LTC) continuum.

I will be speaking on changes to the LTC billing process PDPM brings, such as a focus on weekly Medicare meetings, a triple-check focus, diagnosis code reviews, rejected claims, and gap billing.

Read more and learn about AMBR discounts.

Aug 29, 2019
 | 
The Bottom Line

Facilities are required to use modifiers for HCPCS code R0075 (transportation of portable X-rays). The Centers for Medicare & Medicaid Services (CMS) created the modifiers so that a facility can report the number of residents served during a single trip. You should use these codes only if the X-ray equipment was actually transported to the nursing home.

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.

jfitzgerald@hcpro.com
Karen A. Thomas
Victorine Courtois