Medicare

Medicare CMS Reviews SNF Utilization Data for Therapy Trends

The Centers for Medicare & Medicaid Services (CMS) recently released a new dataset, the Skilled Nursing Facility Utilization and Payment Public Use File (SNF PUF). The data file details facility level utilization data for CY2013 and is being trended for utilization patterns in RUG distributions, length of stay, therapy minutes per RUG, and other data to provide keys to current utilizaiton in each SNF.

March 14, 2016

Medicare CMS Announces Updated Review Process for Part B Therapy

The Centers for Medicare and Medicaid Services (CMS) has announced the appoinment of a Supplemental Medical Review Contractor (SMRC) for manual medical review of therapy claims above the $3700 threshold.

March 1, 2016

Medicare 2016 Medicare Part B Rates: LeadingAge updates Medicare Part B rate calculation tool to reflect the Nov. 16^th final rule.
November 17, 2015

Medicare LeadingAge NY NH Budgeting Guidance for 2016: LeadingAge NY has posted a set of slides providing the most recent information regarding issues nursing home members should consider when budgeting for 2016.
November 2, 2015

Medicare NH Budgeting Guidance for 2016: This set of slides provides LeadingAge NY information on Medicare and Medicaid reimbursement and funding considerations for 2016.
November 2, 2015

Medicare August 2015 SNF PPS Memo
August 11, 2015

Medicare Final SNF PPS Rule for FY 2016: LeadingAge NY issues analysis of the SNF PPS final rule, including 2016 Medicare Part A rates and new value-based payment and quality/staffing reporting programs.
August 11, 2015

Medicare Reminder: July 1 Increase in Medicare Part B Rates: LeadingAge provides rate calculation update for the 0.5 percent adjustment in Medicare Part B rates.
August 11, 2015

Medicare Proposed Changes in Medicare Wage Index: LeadingAge NY provides members with a summary of proposed Medicare wage index changes for FY 2016, impacting both nursing homes and home health agencies.
July 28, 2015

Medicare Reminder: July 1 Medicare Part B Rates: Medicare Part B rates increase by 0.5 percent as of July 1, 2015.
July 21, 2015