[10/10/11]
Posted on October 10, 2011 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
Effective October 1, new PPS rules for fiscal year 2012 require nursing homes to diligently review claims prior to submission. As previously discussed, significant cuts in SNF reimbursement are aimed mostly at therapy services. SNFs submitting claims under the previous rules can expect high rates of denials and rejections. Even facilities billing under the new... READ MORE
Tags: 3.0, bufford, claim, cms, denial, fiscal year, fy, jent, long term care, mds, Medicaid/Medicare Enrollment and Regulatory Compliance, october 1, rate cut, rejection, review, selby, snf, submission, therapy
[07/29/11]
Posted on July 29, 2011 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
The Centers for Medicare & Medicaid Services (CMS) increased fiscal year (FY) 2012 Medicare payments by 2.5% for hospice providers in a final regulation released July 29. Also included in the final regulation are requirements for hospice providers to start collecting quality of care data and changes to the way CMS counts hospice patients... READ MORE
Tags: ACA, accountable care, beneficiary, bufford, cap, cap accounting, cms, current method, days of care, elect, encounter, face to face, fiscal year, fy, fy 2011, fy 2012, fy 2014, Hospice, hospice cap, increase, jent, long term care, market basket, Medicaid/Medicare Enrollment and Regulatory Compliance, Medicare, october, payment, PPACA, qapi, quality assessment and performance improvement, rectification narrative, reduction, selby, terminal illness, two-percentage point, wage index
