Articles and Blogs

october 1

ICD-10 Implementation Will Not Be Delayed

[02/27/14]

Posted on February 27, 2014 in Health Law News, Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

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

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Revised RAI Manual Effective October 1

[10/02/13]

Posted on October 2, 2013 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The most recent revisions to the Resident Assessment Instrument (“RAI”) User’s Manual became effective yesterday for all assessments with an assessment date on or after October 1.  The significant portion of the revisions addresses changes to therapy coding and swallowing and nutrition.   READ MORE

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Providers Face Greater Risk of Claim Denial Under New PPS Rules

[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

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