by Gina Elkins | Thursday, July 14, 2022 | Compliance
Payment reductions. That’s what is in the Fiscal Year 2022 SNF PPS Proposed Rule. Payment reductions. FY 2023 Proposed Updates to the SNF Payment RatesCMS estimates that the aggregate impact of the payment policies in this proposed rule would result in a decrease of...
by Gina Elkins | Tuesday, May 24, 2022 | Compliance
The SNF fourth quarter of FY2021 Program for Evaluating Payment Patterns Electronic Report (PEPPER) is now available for download through the PEPPER Resources Portal. To obtain your SNF PEPPER, the Chief Executive Officer, President, Administrator, Compliance Officer,...
by Gina Elkins | Wednesday, January 26, 2022 | Compliance
Each year The MedPAC (Medicare Payment Advisory Commission) assesses the adequacy of fee for service Medicare payments by reviewing indicators in four categories of payment adequacy: patient’s access to care, the quality of that care, providers’ access to capital, and...
by Gina Elkins | Thursday, November 4, 2021 | Compliance
We are grateful that The Centers for Medicare and Medicaid Services (CMS) granted several waivers and flexibilities for telehealth during the pandemic. Even though it was a struggle for therapy providers and advocacy groups to obtain approval for Physical Therapists,...
by Gina Elkins | Monday, September 13, 2021 | Compliance
They’re ba-ack! Targeted Probe and Educate (TPE) audits. The Centers for Medicare and Medicaid Services (CMS) resumed the TPE audits in August, just a short time ago. Why? Because they have a goal to help us quickly improve the accuracy of our claims. The Medicare...
by Gina Elkins | Wednesday, July 28, 2021 | Compliance
Parity means the state of being equal. We all want to be in a state of equality, right? Supporting parity is important in many aspects of our lives and recently in the Skilled Nursing Facility (SNF) Fiscal Year (FY) Proposed Rule for 2022, The Centers for Medicare and...