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
Coronavirus commission for safety and quality in NHs accepting industry comments
This Commission is seeking public comments on best practices from the LTC industry, but you have a limited window to submit your comments – 5pm (ET) on Friday, July 17, 2020. The announcement came late in the day on July 9, 2020. The Public Engagement portal looks like this: If … Read More
QSO-20-28-NH … revised
Late in the afternoon of July 9, 2020, CMS posted a revised Nursing Home Five Star Quality Rating System updates, Nursing Home Staff Counts, Frequently Asked Questions, and Access to Ombudsman. This is a 16-page QSO notification. Be sure to review the entire memorandum as well as the FAQ – … Read More