Articles and Blogs

With the October 1, 2019 beginning date now past for Patient Driven Payment Model (“PDPM”), the new skilled nursing case-mix classification mode under the Skilled Nursing Facility Prospective Payment System (“SNF PPS”) for classifying SNF patients in a covered Medicare Part A stay, providers need to consider several key legal and compliance program considerations... READ MORE

The American Hospital Association (“AHA”) released a “homestretch” checklist to help hospitals verify that they are ready for the transition from ICD-9 to ICD-10.  The AHA recommends checking internal systems, verifying external partner readiness and consideration of financial protections.  This includes verification that their software applications have been appropriately updated to accommodate the transition.  The... READ MORE

With the October 1, 2014 deadline for ICD-10 compliance looming, many providers might have been holding out in hope that the implementation would again be delayed.  However, Marilyn Tavenner, the administrator of CMS, stated today that there will be no further delays for ICD-10 and the system will go live October 1. READ MORE

Marilyn Tavenner, the administrator of CMS, indicated that providers, payers and claims clearinghouses can look for no relief from the looming October 1 compliance deadline for the nationwide conversion to the ICD-10 family of diagnostic and procedural codes. She made this statement in her February 27, 2014 address to the HIMSS convention in Orlando... READ MORE

On June 27, 2013, CMS released the proposed home health prospective payment rule (the “PPS Rule”) for calendar year 2014.  While refinements to the ICD-9-CM and discussions of ICD-10-CM implementation are of interest, the most notable change to the PPS Rule for 2014 is CMS’s long-awaited proposal for rebasing home health payments.  Once it... READ MORE