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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. 

Congressional Committee Seeks Input on Regulatory Relief

On August 15, 2017 by Jonathan Lips

U.S. Congressman Pat Tiberi (R-Ohio) has launched an initiative to examine Medicare regulations with a view toward identifying and hopefully scaling back regulatory provisions that “impede innovation, drive up costs, and ultimately stand in the way of delivering better care for Medicare beneficiaries.” 

New Medicare Rates for SNFs Effective Oct. 1

On August 7, 2017 by Jeff Bostic

The Centers for Medicare & Medicaid Services recently published a final rule with the new Skilled Nursing Facility (SNF) PPS rates effective for the year starting Oct. 1. We have calculated the SNF rates for all regions of Minnesota.

CMS Proposing New SNF Payment System

On August 1, 2017 by Jeff Bostic

Earlier this year, the Centers for Medicare & Medicaid Services (CMS) released a notice of proposed rulemaking to create a new case mix system for Medicare Skilled Nursing Facility (SNF) payments that would replace RUGs. The notice goes into significant detail in describing the work that CMS has done to develop the new Resident Classification System, Version 1 (RCS-1) and how it would work if implemented. 

Last Chance to Register: How to Start a Medicare Home Care Agency Workshop

On June 13, 2017 by Heidi Simpson

The registration deadline for How to Start a Medicare Home Care Agency sponsored by the Minnesota HomeCare Association has been extended to Thursday, June 15. Interested LeadingAge Minnesota members can attend the one day workshop at the MHCA member price of $149 per person which includes an in-depth resource guide. 

Integrated and Coordinated Care for Medicare Beneficiaries Receives Hearing in U.S. House

On June 13, 2017 by Jodi Boyne

The Health Subcommittee on the U.S. House Ways and Means Committee held an informative hearing this month on integrated and coordinated care for Medicare beneficiaries. The hearing follows recent action in the U.S. Senate, where the Finance Committee passed a Medicare chronic care bill that permanently authorizes dual-eligible, chronic condition and institutional Special Needs Plans (SNPs). 

Oct. 17 Webinar Will Help Members Prepare & Succeed Under Value-Based Purchasing

On September 28, 2016 by Jeff Bostic

Care center members will want to make plans to participate in an upcoming free webinar that will help them prepare and succeed under the new Medicare Value-Based Purchasing.

OIG Report Calls for Re-Evaluation of Medicare Payments to Care Centers

On November 4, 2015 by Jodi Boyne

As reported in the Sept. 30 issue of Advantage, the Office of Inspector General (OIG) issued a report citing that skilled nursing facilities receive far more in Medicare payments than what it costs to provide care.

New Medicare Rates for Skilled Nursing Facilities Effective Oct. 1

On August 12, 2015 by Jeff Bostic

The Centers for Medicare & Medicaid Services (CMS) recently published a rule with the new Skilled Nursing Facility Prospective Payment System rates effective for the year starting Oct. 1.

CMS Proposes Major Changes for Medicare Hospice

On May 13, 2015 by Mary Youle

The Centers for Medicare & Medicaid Services (CMS) has issued a proposed FY 206 Medicare Hospice rule that would increase FY2016 payments by an estimated 1.3 percent and create a Service Intensity Add-On (SIA) Payment for the last seven days of life among other changes.

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