News and Updates

Archive for the ‘All Providers’ Category

Update: SNF Rug Rates Effective beginning 10/1/12

Posted on: September 25th, 2012 by Michael Freeman

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…)

Reminder: Interest on Medicare Overpayments

Posted on: September 7th, 2012 by Michael Freeman

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…)

Update: Useful Contact Information for Novitas

Posted on: September 7th, 2012 by Michael Freeman

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…)

Update: Boren Calls for Federal Investigation of Connolly, Inc.

Posted on: August 30th, 2012 by Michael Freeman

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!!

Reminder: Deadline to Change to a 12/31 year end

Posted on: August 26th, 2012 by Michael Freeman

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…)