by PMR Team | Nov 12, 2019 | CMS, MDS, PDPM
Driving PDPM Operations: Selecting the Primary Diagnosis Under PDPM, the diagnosis coded on the 5-day/Initial Minimum Data Set (MDS) in section I0020B (primary reason for skilled stay) largely determines reimbursement for the entire Medicare stay, unless an Interim...
by PMR Team | Nov 5, 2019 | CMS, Medicare, Physicians
Medicare Final 2020 Physician Fee Schedule (PFS) Released & Rule Includes Challenges for Part B Therapy Providers CMS released the final 2020 Medicare Physician Fee Schedule on November 1, 2019 which includes updates to payment policies, rates and quality...
by PMR Team | Oct 29, 2019 | CMS, QAPI, SNF
Possible one year delay of the SNF QAPI Program requirements While CMS published a proposed rule to delay for one year the Phase 3 SNF QAPI Program requirements, providers have good reason to move forward in implementing a comprehensive QAPI Program with the original...
by PMR Team | Oct 22, 2019 | CMS, Medicare
CMS Will Continue to Report RUG-III and RUG-IV HIPPS Codes, as Requested by the State, Until September 30, 2020 As of October 1, 2019, all scheduled PPS assessments (except the 5-day) and all unscheduled PPS assessments were retired. If you’re in a Medicaid case-mix...
