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Medicare

Medicare

CMS Issues Audit Report Seeking $1.26 Billion Repayment from New York's Medicaid Program

Audit finds that developmental centers were overpaid for services in 2010-11.

August 5, 2014

Medicare

CY 2015 Payment and Policy Update for ESRD and DME

CMS issued its proposed 2015 rule updating payments and programmatic policies for End Stage Renal Disease providers and Durable Medical Equipment suppliers.

July 22, 2014

Medicare

Proposed Rule for CY 2015 Medicare Part B

CMS issued CY 2015 proposed rule on payment and policy changes for Medicare Part B impacting nursing homes and home health agencies.

July 22, 2014

Medicare

Summary of Proposed 2015 Changes in Medicare Wage Index

LeadingAge NY provides members with detailed summary of proposed Medicare wage index changes for 2015, impacting both nursing homes and home health agencies.

July 15, 2014

Medicare

More than Half of SNFs Have Not Yet Accessed PEPPER Reports

The current release (version Q4FY13) of the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for Skilled Nursing Facilities (SNFs) has been available for download since May 5, 2013.  As of the end of June, 49 percent (7,363) of the 14,961 SNF PEPPERs have been accessed.  If you have not accessed your SNF PEPPER, now is the time!

July 8, 2014

Medicare

CMS Guidance on HIPPS Codes for SNF and HHA Medicare Advantage Billing

CMS issues additional guidance to nursing homes and home health agencies on the requirement to include HIPPS codes on Medicare managed care claims effective July 1, 2014.

June 24, 2014

Medicare

MDS Updates for 2014 are Posted by CMS

CMS has posted updated MDS specifications and item sets to be effective October 2014.

June 3, 2014

Medicare

SNF Prospective Payment System Proposed Rule for 2015

LeadingAge posts rate calculator that includes phase in of new Core Based Statistical Area (CBSA) designations.

May 22, 2014

Medicare

SNF PEPPER Reports Available for Download

The Q4FY13 release of the new Skilled Nursing Facility Program for Evaluating Payment Patterns Electronic Report, with statistics through September 2013, is now available for download.

May 20, 2014

Medicare

FISS DDE Recertification Deadline Extended

CMS extended the deadline for Medicare providers to recertify with FISS DDE to Fri., June 6th.

May 6, 2014
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