FY2017 SNF PEPPER Now Available: Access Your Data
The Q4FY17 release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through September 2017 is now available for download through the PEPPER Resources Portal. To obtain your SNF’s PEPPER, the Chief...CMS Five-Star Quality Rating System
Health Inspection Changes On 11/24/2017, in S&C 18-04-NH, CMS announced upcoming changes to the Health Inspection domain of the Five-Star Quality Rating System. In this memo, CMS announced that they will hold constant the current health inspection star ratings on...Medicare Part B Therapy Caps Permanently Repealed!
Medicare Part B therapy caps have been permanently repealed as part of the bipartisan budget deal passed last week and signed by President Trump on Friday, 2/9/18. The repeal will be retroactive to January 1, 2018, but claims over $2010.00 (OT or PT/SLP combined) will...Medical Review Changes: Target Educate and Probe TPE
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. CMS has announced plans to expand the targeted probe approach to medical review to all MACs (Medicare Administrative Contractors.) TPE includes processes...Medical Review Changes: Target Probe and Educate (TPE)
CMS has announced plans to expand the targeted probe approach to medical review to all MACs (Medicare Administrative Contractors). TPE includes processes for communication and education with providers that, historically, has been shown to help reduce errors. TPE will...Special Memorial Day Savings!
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