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Reimbursement

Reimbursement

April 2023 Update to HCPCS Codes for SNF Consolidated Billing Available

CMS has updated the list of HCPCS codes subject to the consolidated billing provision of the SNF PPS. Codes for blood clotting factors have been added to the Medicare Part B SNF files.

February 21, 2023

Reimbursement

Save the Date: Feb. 2nd Webinar on Provider Relief Funding Reporting

An opportunity to learn about new reporting requirements for those who need to report on Provider Relief and ARP Rural Funding.

December 20, 2022

Reimbursement

2023 Budgeting Considerations for Nursing Homes

The document available here provides 2023 budgeting guidance for LeadingAge NY nursing home members, specifically on Medicare and Medicaid funding issues. It is designed to help members as they finalize budgets for the following year. Although laid out as a slide presentation, each issue is described in narrative detail with links to helpful resources.

November 12, 2022

Reimbursement

DOH Answers Questions About VAPAP for Distressed Nursing Homes

DOH answered questions related to applications from nursing homes that are part of larger systems and county nursing homes.

July 26, 2022

Reimbursement

LeadingAge NY Comments on FY 2023 SNF PPS Proposed Rule

LeadingAge NY submitted detailed written comments on the CMS SNF PPS Proposed Rule. The comments focused on the proposed recalibration of the PDPM parity adjustment, the market basket index, VBP, QRP, and CMS's request for input into possible staffing requirements.

June 12, 2022

Reimbursement

U.S. Court of Appeals Rules Medicare Beneficiaries Have Right to Appeal Observation Stay Reclassifications

In Barrows v. Becerra, the Second Circuit held that decisions to reclassify patients from inpatients to patients receiving outpatient observation services implicate the patients' due process rights and that the HHS Secretary must provide a mechanism to appeal the reclassification decisions.

February 1, 2022

Reimbursement

Nursing Home Minimum Wage Survey Due Friday

Nursing homes have an extension to respond to the newly updated survey, which impacts rates.

October 19, 2021

Reimbursement

Attention Nursing Home CFOs!

Please consider sharing your completed 2020 cost reports.

September 28, 2021

Reimbursement

DOH Posts 2020 NHQI Results

NHQI results are now available.

August 31, 2021

Reimbursement

2020 NHQI Score Sheets

Nursing homes are asked to review their score sheets and provide any feedback to the Department by Aug. 13th.

August 3, 2021
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