National Correct Coding Initiative (NCCI) It has been a flip-flop kind of year for the Center for Medicare & Medicaid Services (CMS) when it comes to deciding which CPT codes can and can't be billed together. These code combinations or "edits" … [Read more...]
CMS Delays Implementation Due Date For SNF Medicare Part B ABN
On August 4th, 2020, CMS released a statement stating that the 8/31/20 implementation due date for the updated CMS-R-131 Advanced Beneficiary Notice will be moved to 1/1/2021 due to the Public Health Emergency. Here is the CMS statement: To … [Read more...]
Breathe Easy! Respiratory Therapy and the MDS
Respiratory Therapy (RT) is not new to the skilled nursing facility (SNF) setting or new to the Minimum Data Set (MDS). The data for RT has been coded in Section O of the MDS for years, generating a Special Care High Nursing score...the second … [Read more...]
Medicare Part B Rules for 2019 – Short and Sweet Version
Therapists in the SNF (Skilled Nursing Facility) setting are starting out 2019 with a few less documentation requirements to worry about. Less? Now that's a first! So what's up for 2019? The Final Rule {you're starting to see the pattern that … [Read more...]
Is a Range in Therapy Frequency Acceptable for Part A or B?
A common question from Rehab Departments in skilled nursing facilities: Can our treatment orders have a range in frequency? What is acceptable? Part A: 5-6x per week vs 6x per week Part B: 2-3x per week vs 3x per week We can all have … [Read more...]
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