Mar 13, 2020
The Bottom Line

As COVID-19 spreads throughout the U.S., LTC providers face unique challenges to keep their high-risk residents safe. In an effort to fully understand the challenges SNFs are currently facing as a result of the virus, we’d like readers to complete a survey to tell us about their challenges.

In order to aid home health and LTC providers as they navigate COVID-19, we have also launched a Post Acute Care Coronavirus response page to provide resources and solutions. Key survey findings will be shared on our Coronavirus Solution Center.


Mar 06, 2020
The Bottom Line

In a recent report, the Office of Inspector General (OIG) determined that Medicare made Part B payments to ambulance suppliers for transportation services that were also included in Medicare Part A payments to Skilled Nursing Facilities, as part of consolidated billing requirements. CMS developed the Ambulance Fee Schedule and Medicare Transports (PDF) Booklet to help you bill correctly

Jan 31, 2020
The Bottom Line

On November 1, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) effective on or after January 1, 2020. The rule includes an 8% cut from Medicare payments for physical and occupational therapy services starting in 2021.

Jan 24, 2020
The Bottom Line

Seema Verma, administrator for the Centers for Medicare & Medicaid Services, sat down for a rare one-on-one interview with Kaiser Health News senior correspondent Sarah Varney.

They discussed her views on President Donald Trump’s plan for sustaining public health insurance programs, how the administration would respond if Obamacare is struck down by the courts in the future and her thoughts on how the latest “Medicare for All” proposals would affect innovation and access to care.

Dec 06, 2019
The Bottom Line

The HCPCS and CPT codes are updated annually. SNFs must stay on top of the annual updates as well as CMS program memorandums listing changes to HCPCS codes for consolidated billing purposes. For rehabilitation, the therapist should use the AMA’s CPT coding definitions. For other services and supplies, double-check the accuracy of codes for services and items provided by the vendor.


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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.

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