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Medicare

Medicare

LeadingAge NY Publishes PDPM Summary

Memo details the new Medicare Part A reimbursement methodology CMS intends to implement on Oct. 1, 2019 that fundamentally changes how nursing home rates will be calculated.

August 21, 2018

Medicare

LeadingAge NY Summarizes 2019 SNF PPS Rule

Annual memo provides a detailed summary of issues related to Medicare Part A rates effective Oct. 1, 2018 as well as Value-Based Purchasing and Quality Reporting Program provisions. The memo includes a listing of Medicare rates by RUG.

August 21, 2018

Medicare

CMS Makes SNF VBP Performance Reports Available

Facilities can view their VBP payment adjustments for FY 2019.

August 13, 2018

Medicare

CMS Finalizes SNF PPS Rule for FY 2019

New rule paves way for Patient-Driven Payment Model to replace RUG-IV.

August 7, 2018

Medicare

CMS Reintroduces QMB Information on Medicare RA

Medicare provider billing staff should be aware of new QMB information added to the Remittance Advice.

July 9, 2018

Medicare

LeadingAge NY Comments on SNF PDPM Proposal

Our comments identify several areas of concern with the Patient-Driven Payment Model.

June 29, 2018

Medicare

PDPM Comments Due June 26th

Providers interested in submitting comments on the proposed SNF PPS rule, either directly to CMS or through LeadingAge NY, should do so this week.

June 18, 2018

Medicare

Major Medicare Part A Reimbursement Changes Coming

A LeadingAge NY memo summarizing the Patient Driven Payment Model (PDPM) that CMS has proposed as a replacement for the RUG-IV methodology for determining Medicare Part A rates for nursing homes is available here.  CMS is accepting comments on the proposal until June 26.

June 13, 2018

Medicare

CMS Schedules Session on QMB Billing Compliance

June 6th call is targeted at Medicare Part A and B providers, vendors, and billing specialists.

May 25, 2018

Medicare

Medicare Cost Report Submission Date Approaching

Most Medicare providers need to file cost reports by the end of May. This year, CMS is establishing a streamlined, electronic submission process.

May 4, 2018
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