News and Updates

Archive for the ‘Uncategorized’ 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…)

Update: Congratulations are in order for two TFG Clients

Posted on: September 25th, 2012 by Michael Freeman

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. 

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: PS&R System not available until 9/17

Posted on: September 7th, 2012 by Michael Freeman

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…)

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!!

Update: EHR Incentive Program: Stage 2 Final Rule

Posted on: August 30th, 2012 by Michael Freeman

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…)

Update: IPF PPS-Update for Fiscal Yr Beg. 10/1/12 (FY 2013)

Posted on: August 27th, 2012 by Michael Freeman

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…)

Update: LA Medicaid DRG Validation due 8/31/12 – Extended 9/7/12

Posted on: August 26th, 2012 by Michael Freeman

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…)