Will your State use the Optional State Assessment (OSA) beginning on 10/1/23? On April 24, CMS posted the Optional State Assessment (OSA) Item Set, OSA Manual, and OSA Change History table on CMS.gov, effective for use 10/1/23. The OSA, a … [Read more...]
Medicare Part B Rules for 1/1/23: Guide for SNF Therapy – Proposed Rule
CMS released the Physician Fee Schedule (PFS) Proposed Rule, or the “Medicare Part B Rules,” outlining what kicks in 1/1/23, unless changes are made prior to the release of the Final Rule later this fall. This 2,066- page document … [Read more...]
PDPM and Medicare Part A Updates for 10/1/22
Centers for Medicare and Medicaid Services (CMS) released the Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) FY2023 FINAL RULE containing the components that will go into effect 10/1/22. The Final Rule … [Read more...]
PHE and Waivers Officially Renewed for the 8th Time
On January 14, 2022, the Department of Health and Human Services released a declaration of renewal of the National Public Health Emergency (PHE) which will be in effect for another 90 days, starting January 16th, ending April 15th. This declaration … [Read more...]
Medicare Part B NCCI Edits Effective Jan 1st 2022 – SNF Therapy Update
"Can we bill these 2 codes together?" "Is modifier 59 required?" "Will Medicare Part B pay for these therapy services?" Knowing what Current Procedural Terminology (CPT) Codes can and cannot be billed together, and when a modifier is … [Read more...]
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