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...]
New Advanced Beneficiary Notice Form for SNF Medicare Part B
In the SNF setting, Rehab Managers, MDS Coordinators and Social Workers are among the staff designated to issue these "forms" to Medicare residents. All forms have a unique purpose and deadline for delivery. These "forms" include: Notice of … [Read more...]
Skilled Maintenance Therapy In The SNF & The New Assistant Modifiers
Think back to 6th grade English class for a minute—remember those fun figures of speech? The metaphor…simile…hyperbole… onomatopoeia …alliteration. Do you remember the oxymoron? You know the ones…jumbo shrimp...awful good...icy hot...friendly … [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...]
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