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February 8, 2011 The Centers for Medicare and Medicaid Services (CMS) discovered an error in the non-labor share percentage used for calculating Skilled Nursing Facility (SNF) Prospective Payment System (PPS) reimbursement for fiscal year 2011...read more January 10, 2011 A facility will quality for filing a low-utilization Medicare cost report by meeting EITHER ONE (NOT both) of the following limits: Projected Payments or Projected Day/Visits...read more December 10, 2010 Congress has voted to restore the implementation of RUGS-IV effective October 1, 2010. This eliminates the need to retroactively adjust payments for dates of service beginning on October 1, 2010 and eliminates the need for a "hybrid" version of the RUGS rates, referred to as HR-III...read more December 2, 2010 The Centers for Medicare & Medicaid Services (CMS) would like to remind Medicare Fee-For-Service physicians, providers and suppliers submitting claims to Medicare for payment, as a result of the Patient Protection and Affordable Care Act (PPACA), effective immediately, all claims for services furnished...read more November 9, 2010 On Wednesday, November 3, 2010, the Centers for Medicare & Medicaid Services (CMS) issued a final rule to update the Home Health Prospective Payment System (HH PPS) rates for Calendar Year (CY) 2011. This final rule reflects CMS' ongoing efforts to improve quality of care provided by home health agencies to Medicaid beneficiaries...read more November 4, 2010 The revised July 2, 2010 Medicaid rate letters were mailed by the DHS on Monday, November 1, 2010. The revised rate incorporates the across the board adjustment of 1.76% and the individual facility's acuity adjustor...read more October 7, 2010 Included in the July 22, 2010 Federal Register are the 66 new RUGS-IV PPS rates. Beginning on October 1, 2010, the use of MDS 3.0 will generate billing and payment at the new RUGS-IV categories and rates...read more Archived Matters of Interest
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