powered by LeadingAge New York



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


New Option for Medicare Cost Report Submission

CMS to make new e-Filing option available for 2017 reports starting in March 2018.

February 19, 2018


Medicare Therapy Cap Exceptions Not Yet Renewed

Authorization for the Medicare Part B therapy cap exception process lapsed at the end of 2017 and requires congressional action.

January 29, 2018


CMS Finalizes Rule Scaling Back Expansion of Bundled Payments

Number of markets with mandatory joint replacement bundles to decrease; hip fracture and cardiac bundles cancelled.

December 5, 2017
  • view more