We have attached a spreadsheet for download that provides the Skilled Nursing Facility RUG Rates effective 10/1/12. In order to calculate your RUG Rates, follow four simple steps: (more…)
News and Updates
The Joint Commision just released a report that includes 620 hospitals in the United States, designated at “Top Performers on Key Quality Measures” that are leading the way nationally for positive patient outcomes. TFG Clients’ Oceans Behavioral of Lafayette and Oceans Behavioral of Opelousas were two of the 15 Louisiana Hospitals named and the only Psychiatric hospitals in Louisiana on the list. Click here for a copy of the entire report from The Joint Commission.
As several of our providers have established extended repayment plans due to SSI adjustments or outlier reconcilliations, we feel it necessary to remind providers how the interest related to the overpayments needs to be treated in the general ledger so that the Medicare Cost Report can be properly prepared.
In accordance with PRM I Section 202.1, interest related to Medicare Overpayments is not allowable. Hence, if you have incurred such interest it needs to be recorded in a seperate general ledger account so that the amount can be identified during Mediare cost report preparation and maintain an adequate audit trail from the cost report to the trial balance. (more…)
The Medicare PS&R system in down for maintenance. No providers will be able to generate a PS&R until at least September 17, 2012. If for any reason you need a PS&R and can not obtain one, you will need to wait until 9/17. (more…)
We encourage all of our providers that have recently transitioned from Pinnacle to Novitas to spend a little time on the Novitas website There is an abundance of usual information and downloads available to the provider. While we usually recommend that our provider’s contact us with any reimbursement related issues that require intermediary contact, we thought it would be good to provide you with this link for Novitas contact information.
If you have recently transitioned from Pinnacle, you are in MAC Jurisdiction H. (more…)
U.S. Rep. Dan Boren (D-OK) requested a federal investigation into the tactics employed by Connolly, Inc. and other RAC Contractors. TFG feels that RAC Contractors play an important role in protecting the Medicare Program but their activities may overreach due in part to their incentive structure. We also feel that RAC audits can have a disproportionate impact on smaller providers. Here you can find a copy of the statement released by Congressmen Boren’s office. Amen!!
CMS announced a final rule to govern Stage 2 of the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The rule specifies the Stage 2 criteria that must be met in order to continue to participate in the EHR Incentive Programs. (more…)
The linked notice (published 8/7/12) updates the PPS rates for Medicare inpatient services provided by inpatient psychiatric facilities (IPF’s). These changes affect discharges occurring during the FY 2013 (10/1/12-9/30/13). Major provisions in this update include: (more…)
Around August 22, 2012, all Louisiana hospitals should have received a Medicaid DRG Validation request from the Louisiana Hospital Association or LA DHH. There is a 8/31/12 deadline for response. If not responded to by that date, Burns Health Policy will accept their data as reported to establish hospital specific base year cost. It is critical that we get the files forwarded to our office for our review as soon as possible. We have a very short time period to review and identify inaccuracies that will affect the base year Medicaid Rate that is being established. (more…)
Providers have until September 2, 2012 to change their Medicare Cost Report year end to December 31. If you wish to change your cost report year end to December 31 and have good cause your intermediary/MAC must receive your request by September 2, 2012. Typically converting your cost reporting period to a calendar year end constitutes good cause. (more…)