If you listened to the Wednesday, July 22, 2020 CMS COVID-19 Nursing Home Call, you heard Evan Shulman, Director, Division of Nursing Homes for CMS moderating this afternoon’s 30-minute session. It was announcement that nursing homes with a CLIA (Clinical Laboratory Improvement Amendment) certificate would begin to receive 1 of … Read More
SNF patient-driven payment model interrupted stay issue
A new issue is affecting some inpatient hospital and Skilled Nursing Facility (SNF) claims when an interrupted stay is billed at the end of the month. The system incorrectly assigns edits U5601-U5608 (overlapping a hospital claim). If you billed the interrupted stay correctly, and your claim is rejected, modify your … Read More
SNF PEPPER reports are coming
In case you forgot about your annual PEPPER report, CMS has not. CMS has directed the PEPPER team to resume distribution of PEPPER reports to all post-acute facilities. The SNF Q4FY report will be delivered on July 29, 2020. It was originally scheduled for release on April 6, 2020 but … Read More
FY 2021 ICD-10-CM official guidelines for coding and reporting posted
The FY 2021 ICD-10-CM Official Guidelines for Coding and Reporting have been posted a bit earlier than usual this year. The 126-page document provides the guidelines for diagnosis coding. These guidelines are to be used from October 1, 2020 through September 30, 2021. Note: This (document) replaces the FY 2020 … Read More
COVID-19 information: 2nd full week of July 2020
MLN Matters Number: SE20011 Revised was posted on Friday, July 17, 2020. This is a 16-page MLN. Look for the red ink within this document. The first occurrence is found on page 11. Keep reading as there is more clarification regarding the SNF Benefit Period Waiver as well as billing. Testing … Read More