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Reimbursement

Reimbursement

PEPPER Reports for Q4FY15 are Available

The Q4FY15 release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through Sept. 2015 is now available.

April 19, 2016

Reimbursement

Universal Settlement Release Re-execution Call

Presentation with questions and answers by the Universal Settlement Trustee law firm on the requirement for some homes to re-execute their release document if alterations were made to the previously submitted release.

January 29, 2016

Reimbursement

Webinar: New CPT Codes for Advance Care Planning and MOLST Discussions

Dr. Patricia Bomba, MD, FACP, will present a free webinar for physicians and other clinicians on the required elements of advance care planning conversations and how to bill for them on Feb. 2, 2016 from 8:00-9:00 a.m. 

January 18, 2016

Reimbursement

CMS Publishes Final Regulations for Joint Replacement Bundled Payment Model

The final rule, which mandates bundled payment arrangements in 14 counties in NYS, offers opportunities for shared savings, as well as shared recoupments, among hospitals and post-acute care providers and provides for waivers of the SNF 3-day rule and certain telehealth requirements.

 

November 30, 2015

Reimbursement

CMS Finalizes Regulations Governing Bundled Payments for Joint Replacements

Effective Apr. 1, 2016, hospitals in 14 counties in New York State will be held accountable for acute and post-acute care costs and quality within 90-day episodes of care related to lower extremity joint replacements.

November 17, 2015

Reimbursement

Exploration of Updated Payment Models for Therapy under PPS Continues

CMS contractor, Acumen, releases summary report of activities to examine possible updated payment models for therapy under the Medicare Prospective Payment System (PPS).

November 13, 2015

Reimbursement

CMS Proposes Mandatory Hip and Knee Replacement Bundles in 14 New York Counties

As of January 2016, hospitals in the specified counties would be responsible for the total cost and quality of hip and knee surgeries, including inpatient, and post-acute care for 90 days after discharge.

July 14, 2015

Reimbursement

CMS Proposes New Medicare Physician Payments for Advance Care Planning Counseling

Beginning in January 2016, the Medicare physician fee schedule would include two new Current Procedural Terminology (CPT) codes for counseling related to advance care planning – one would covers the first 30 minutes; the other, any subsequent 30-minute blocks of time.

July 14, 2015

Reimbursement

LeadingAge NY Regional CFO Council Meetings

The recently completed series of regional meetings provided members with an in-depth analysis of IPAs and the most recent policy update.

May 5, 2015

Reimbursement

NYS Medicaid Inspector General Releases 2015-16 Work Plan

The Work Plan includes added focus on DSRIP and managed long term care.

April 14, 2015
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