[01/31/12]
Posted on January 31, 2012 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
The Centers for Medicare & Medicaid Services (CMS) has responded to criticism detailing how Medicare contractors present hospice service charges in the Medicare Summary Notice (MSN) to beneficiaries. In recent years, CMS has added new reporting requirements for visit data on hospice claims. This resulted in an expansion of the information of the claim record to better understand... READ MORE
Tags: billing, bufford, claim data, cost, Hospice, jent, Medicaid/Medicare Enrollment and Regulatory Compliance, msn, selby
[01/30/12]
Posted on January 30, 2012 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule that enacts a provision of the Patient Protection and Affordable Care Act (PPACA) that seeks to make Medicaid reimbursement for medications more transparent and more closely aligned with what pharmacies pay for the drugs. In a press release, CMS states the... READ MORE
Tags: bufford, cms, cost, jent, Litigation and Risk Management, long term care, managed care, Medicaid/Medicare Enrollment and Regulatory Compliance, PPACA, prescription drugs, rebates, selby
[01/10/12]
Posted on January 10, 2012 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
Under the Patient Protection and Affordable Care Act (PPACA), skilled nursing facilities (SNFs) are required to seperately report expenditures for wages and benefits for direct care staff (breaking out (at a minimum) registered nurses, licensed professional nurses, certified nurse assistants, and other medical and therapy staff). CMS recently posted updates to the Provider Reimbursement Manual... READ MORE
Tags: bufford, cost, cost report, direct care, expenditure, facility, jent, long term care, Medicaid/Medicare Enrollment and Regulatory Compliance, nf, nursing home, period, PPACA, report, selby, skillind nursing, snf