News related to "medicare"

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Senate Votes to Extend Sequestration Suspension

On March 31, 2021 by Jeff Bostic

Last Thursday, the US Senate voted to extend the suspension of the 2% sequestration cut for all Medicare services through the end of 2021. Congress initiated sequestration in 2011 to limit Medicare costs by reducing all payments by 2%. With the onset of the COVID-19 pandemic, the sequestration was suspended for a year by Congress last April 1. The coming expiration of that suspension led to the Congressional activity to extend it further.

CMS Extends Deadline for Use of Renewed ABN for Medicare Part B Services

On August 5, 2020 by Jonathan Lips

As we previously reported, the Advance Beneficiary Notice of Noncoverage (ABN) Form CMS-R-131 and instructions have been approved for renewal.  

Reminder: Advance Beneficiary Notice for Part B Services Has Been Renewed

On July 15, 2020 by Jonathan Lips

The Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, and instructions have been approved by the Office of Management and Budget (OMB) for renewal.  The use of the renewed form with the expiration date of 06/30/2023 will be mandatory on Aug. 31, 2020.

Medicare Proposed Rule Provides Inflation Adjustment of 2.3%

On April 14, 2020 by Jeff Bostic

The Centers for Medicare & Medicaid Services (CMS) last week issued a Proposed Rule that provides updates about the Skilled Nursing Facility (SNF) PPS rates that will take effect Oct. 1, 2020. CMS will follow up with a final rule on the Oct. 1 rates around Aug. 1.  

CMS Releases Results of Second Year of Value-Based Purchasing

On January 7, 2020 by Jeff Bostic

The Center for Medicare & Medicaid Services (CMS) released the results of the second year of implementation of Value-Based Purchasing (VBP) for skilled nursing settings. The results are a mixed review for Minnesota care centers.   

Reminder: Change from KEPRO to Livanta Requires Action by Medicare Providers

On June 11, 2019 by Jeff Bostic

Effective June 8, 2019, Livanta replaced KEPRO as the Beneficiary and Family Centered Care (BFCC) Quality Improvement Organization (QIO) for Minnesota. This serves as an important reminder that skilled nursing facilities need to take action in relation to the transition to Livanta.  

New Guidance from CMS on Serving Dual Eligibles

On December 31, 2018 by Guest Contributor

The Centers for Medicare and Medicaid Services (CMS) published a new State Medicaid Director Letter titled 10 Opportunities to Better Serve Individuals Dually Eligible for Medicaid and Medicare

Skilled Nursing Facility Medicare Rate Calculation Tools Update

On October 9, 2018 by Jeff Bostic

LeadingAge has updated the Medicare Part A Skilled Nursing Facility Prospective Payment System (PPS) calculator and the Medicare Part B therapy rate calculator to help members assess and estimate the impact of final payment changes for FY 2019, which began on Oct. 1, 2018. 

Shift in Medicare Cost Plans: Consumer Resources

On September 18, 2018 by Jodi Boyne

The massive shift that is about to take place in Medicare will affect hundreds of thousands of Minnesota enrollees, including some of the seniors you serve. Medicare Cost Plans will end in December 2018 and seniors affected by this change will need to enroll in new Medicare coverage for 2019. To help ensure a seamless transition, the State of Minnesota has developed helpful publications that you can share with your residents and families.  

Now Available: Webinar Recording - New Medicare Care Center Payment System

On August 28, 2018 by Jeff Bostic

LeadingAge Minnesota and Health Dimensions Group last week hosted a webinar on the new Patient Driven Payment Model (PDPM), which is scheduled to take effect on October 1, 2019 and will make dramatic changes in how Medicare pays for services in care centers.  

Now Available: Medicare Red Tape Relief Report

On August 22, 2018 by Jodi Boyne

After a year of collecting stakeholder input, the U.S. House Committee on Ways and Means has issued the Medicare Red Tape Relief report.  

LeadingAge Strikes Back on MedPAC Call to Lower SNF Pay Rates

On June 19, 2018 by Jeff Bostic

LeadingAge distributed a critical response to a recent recommendation by the Medicare Payment Advisory Commission (MedPAC) to lower pay rates for skilled nursing facilities. 

REMINDER: New Medicare Cards to Start Mailing in June

On May 29, 2018 by Jodi Boyne

Medicare is removing Social Security numbers from Medicare cards to prevent fraud, fight identity theft and keep taxpayer dollars safe. Medicare will mail new cards to Minnesotans on Medicare sometime after June 2018 and before April 30, 2019. The following information from the Minnesota Department of Human Services can help you respond to questions you may receive from residents.  

New Medicare Cards Coming Soon

On March 6, 2018 by Bobbie Guidry

The Centers for Medicare & Medicaid Services (CMS) is required to remove Social Security Numbers (SSNs) from all Medicare cards by April 2019. This will have an impact on how providers submit claims.  

Therapy Caps Not Addressed in Continuing Resolution

On January 23, 2018 by Jeff Bostic

Every year since 2006, Congress has ultimately renewed the exceptions process for annual caps on outpatient therapy under Medicare Part B. Since that has not yet happened for 2018, the caps are currently in effect. This year the caps are $2,010 for physical and speech combined and another $2,010 for occupational therapy. 

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