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
Archive for the ‘Updates’ Category
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…)