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Reimbursement

Reimbursement

SNF PDPM Claims Issue

Claims filed out of sequence are causing reimbursement inaccuracies under PDPM.

March 3, 2020

Reimbursement

Medicare SNF 3-Day Rule Billing Resource

CMS has developed a fact sheet on the inpatient hospital stay requirement.

November 21, 2019

Reimbursement

President Issues Executive Order on Medicare

In opposition to calls for "Medicare for All," the Order would strengthen "market-based" approaches to Medicare, including broader Medicare Advantage choices, while aligning Medicare fee-for-service rates with Medicare Advantage and commercial insurance payments.

October 8, 2019

Reimbursement

SNF 3-Day Rule Billing

SNFs should understand 3-day rule billing requirements to avoid overpayment liabilities.

August 6, 2019

Reimbursement

DOH Posts 2018 NHQI Results

Nursing Home Quality Initiative results with quintile cut-points are now available.

July 2, 2019

Reimbursement

LeadingAge NY Highlights Challenges Facing Rural Providers at Assembly Hearing

LeadingAge NY urged immediate action to address the growing workforce and reimbursement challenges confronting rural providers of LTPAC and senior services in testimony presented to the Assembly Health Committee on May 31st.

June 4, 2019

Reimbursement

NYS Assembly to Hold Rural Health Care Hearing

LeadingAge NY members are encouraged to participate in the public hearing on May 31st in Albany.

May 20, 2019

Reimbursement

Cash Receipts Assessment Clarification

DOH clarifies that while nursing home quality pool funding is assessable, homes should treat the supplemental payments as not subject to the assessment at this time.

January 11, 2019

Reimbursement

Billing Verification Changes

eMedNY makes changes in response to Medicare Beneficiary Identifier card changes.

September 18, 2018

Reimbursement

Medicaid Billing Training Opportunities

eMedNY provides a number of offerings throughout the year.

September 11, 2018
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