MedPAC makes recommendations for FFS payment updates in annual report

Mar 22, 2019
 | 
The Bottom Line

In their annual report to Congress, the Medicare Payment Advisory Commission (MedPAC) made policy recommendations for nine provider sectors in fee-for-service (FFS) Medicare, including recommendations against raising payment rates for both skilled nursing facilities (SNFs) and home health agencies. MedPAC recommends that Congress not increase base payment rates for SNFs in 2020 and suggests that Congress reduce base payment rates for home health agencies by 5 percent for 2020.

TKA removed from Medicare IPO list: Implications for SNFs

Mar 22, 2019
 | 
Billing Alert for Long-Term Care

In the final 2018 outpatient prospective payment system (OPPS) rule released by CMS, total knee arthroplasty, also known as total knee replacement (TKA/TKR), was removed from the Medicare inpatient-only (IPO) list. The IPO list includes procedures that are only paid under the hospital inpatient prospective payment system.

Congress makes another attempt to eliminate three-midnight rule barriers to SNF coverage

Mar 15, 2019
 | 
The Bottom Line

This March, Congress will re-introduce legislation with bipartisan support to allow Medicare beneficiaries that are hospitalized in observation to qualify for SNF coverage following their hospital stay. Currently, under the three-midnight rule, beneficiaries mThis March, Congress will re-introduce legislation with bipartisan support to allow Medicare beneficiaries that are hospitalized in observation to qualify for SNF coverage following their hospital stay. Currently, under the three-midnight rule, beneficiaries must have been categorized as being an inpatient in a hospital for three midnights in order to qualify for a Medicare Part A SNF stay.

Billers’ Association for Long-Term Care is now Association for Medicare Billing and Reimbursement (AMBR) for Long-Term Care!

Mar 15, 2019
 | 
The Bottom Line

The Billers' Association for Long-Term Care is now the Association for Medicare Billing and Reimbursement (AMBR) for Long-Term Care! This new name better represents all that our association stands for and our mission to serve as a national resource for long-term care billing and reimbursement professionals and provide a community for networking, education, and analysis of complex regulations to empower its members to succeed and achieve professional growth.

Pages

Members-only webcasts

Enjoy past webcast events with your AMBR Membership! Click here!

Free Resources

Access sample white papers, tools, analysis, and resources.