On September 27, 2012, CMS issued an advance copy of the State Operations Manual (“SOM”) revisions to Appendix P of the SOM, which addresses Long-Term Care Facility survey protocol. The SOM guidance also makes changes to various survey forms resulting from the new quality measures reports. (more…)
Posts Tagged ‘mds’
CMS Issues Advance Copy of Long-Term Care Survey Protocol
Authored By: Todd J. Selby
Providers Face Greater Risk of Claim Denial Under New PPS Rules
Authored By: David W. Bufford
Effective October 1, new PPS rules for fiscal year 2012 require nursing homes to diligently review claims prior to submission. As previosly discussed, significant cuts in SNF reimbursement are aimed mostly at therapy services. SNFs submitting claims under the previous rules can expect high rates of denials and rejections. Even facilities billing under the new rules face denials and rejections for any errors or inconsistencies in the information submitted.
Should you have any questions, please contact:
Todd Selby at 317.977.1440 or tselby@hallrender.com;
Brian Jent at 317.977.1402 or bjent@hallrender.com; or
David Bufford at 502.568.9368 or dbufford@hallrender.com,
or your regular Hall Render attorney.
CMS to Host Conference Call Related to MDS 3.0, PPS
Authored By: David W. Bufford
CMS will host their monthly Skilled Nursing/LTC Open Door Forum on Thursday, October 20, from 2-3pm EST. This call was originally scheduled on October 13. The information to participate in the call is available here.
The recent changes to MDS 3.0 and PPS are likely to be heavily discussed topics.
Should you have any questions, please contact:
Todd Selby at 317.977.1440 or tselby@hallrender.com;
Brian Jent at 317.977.1402 or bjent@hallrender.com; or
David Bufford at 502.568.9368 or dbufford@hallrender.com,
or your regular Hall Render attorney.
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