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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


LeadingAge NY Comments on SNF PDPM Proposal

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

June 29, 2018


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


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


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 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


CMS Proposes Changes to Medicare Part A Reimbursement

The SNF PPS proposed rule would update payment rates for the coming year, make changes to quality reporting and VBP programs, and replace RUG-IV with an alternative case mix methodology.

May 1, 2018


CMS Issues SNF VBP Fact Sheet

Starting in October, all nursing homes will be subject to a 2 percent Medicare Part A reduction. Those who score well on their hospital readmission measure may qualify for an incentive payment.

April 9, 2018


CMS Clarifies Claims Processing Changes

Provisions of the Bipartisan Budget Act of 2018 that are retroactive to Jan. 1, 2018 do not require any new action by providers.

March 12, 2018


Medicare Low Volume Appeals Initiative Deadline Approaching

Providers interested in settling eligible Medicare appeals should submit an Expression of Interest form to CMS. Deadline for some is March 9th.

March 6, 2018
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