The “Consolidated billing made simple” series delves into the ins and outs of consolidated billing. This series will untangle CMS regulations and give billers a solid understanding of the rules so that they can apply them appropriately.
Last month, as we were nearing the end stages of re-launching the association with its new name, Association for Medicare Billing and Reimbursement (AMBR) for Long-Term Care, we revisited the initial community outreach that our predecessors completed back in 2015. While we’ve come so far as an association and have witnessed and been a part of its progress, we wanted to make sure we were sticking with its roots and original purpose as we seek to join a more diverse group of professionals and expand our member benefits.
Beginning this April, the Department of Health and Human Services (HHS) will randomly select nine HIPAA-covered entities for compliance reviews. The possible selections can include any health plan for clearinghouses that are covered by HIPAA and is not isolated to just those that work with Medicare and Medicaid.
To celebrate AMBR’s relaunch we thought it only appropriate to indulge in some cake. What are you celebrating lately?
We’re all very busy, but it’s important to take time to acknowledge our successes. Whether you accomplished a big project recently or are still in the middle of one and celebrating the day-to-day achievements, we’d like to hear about it. Email director of content Brianna Shipley at email@example.com to be featured in our Member Spotlight. Tell us what you’re doing, where you’d like to go, and how you’ve gotten to where you are now. When you focus on the positive, there’s always an excuse to eat cake.
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.
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.