|
2011 Newsletters |
|
Issue Date |
News You Can Use. |
Medical Review Activities |
Tip of the Month: |
A/B MAC Spotlight |
|
Jan/Feb 2011 |
Link to CMS website to access
LCDs |
2 OIG Reports on Questionable
Billing Practices in SNF and Therapy Outpatient Services
|
CMS and "Timely Billing
of Claims" otherwise denied! |
Trailblazer applies
"Incident to" edits
NGS changes its
LCD
CIGNA appointed MAC for
Ohio and Kentucky |
|
2010 Newsletters |
|
Issue Date |
News You Can Use. |
Medical Review Activities |
Tip of the Month: |
Q&A |
|
Oct/Nov 2010 |
Medicare Part B Reimbursement
News for 2011
Read Article |
OIG issues it's workbook for 2011, eyes on SNF and PTs in
private practice
NHIC Pre-payment probe on SNF
OT re-evals
Review
findings |
Practice Expense Relative
Values for 2011
Access list |
For SNF: Confused over timing of evaluation
For Part B: Mandated part B in SNF
|
|
July/August |
CMS issues interim final rule
for Part B
NOT GOOD NEWS!
Read Article |
Nine tips to help you with
Medical Review
Read Article |
Use of Students under the MDS
3.0
Read Article |
For SNF: Billing for a Home Evaluation
For Part B: Documenting time |
|
May/June |
Confusion over Part B
payments, waiting for Congress
CMS to go forward with
schedules RUG IV and develop software to process the hybrid
version |
Using Clinical Judgment when
performing medical review. Medicare's transmittal to contractors |
Respond to ADRs timely |
For SNF: How often is it
required to screen residents for ROM or is it nursing's
responsibility?
For Part B: Do I have to have
certification dates on my eval? |
|
March 2010 |
CMS hold Part B claims for 14
days starting April 1st
Exception process back |
Results from J1 report for
January: Top denial reasons
Read Article |
Legible Signatures
CMS issues new guidelines
Read Article
|
For SNF: Use of groups outside
of observation period
For Part B: Accurate reporting
of units vs computer input |
|
February 2010 |
Waiting for Congress and what
to do in the meantime |
CERT National Error Report for
FY2009. Expect more denials!
Read Article |
Part 2 of the Cert Contractor
denials and what you can do to reduce your risk.
Read Article |
For SNF: Lack of Progress and
Quarterly Screenings
For
Part B: Recertifications and Progress notes |
|
January 2010 |
The Caps Are Back
Read Article |
CERT Contractor Denials
Read Article |
Surviving a RAC Attack! |
Use of the 59 modifier for CCI
edits |
