Director’s Note

Apr 01, 2019
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AMBR Journal

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.

We had cake…will you?

Mar 29, 2019
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The Bottom Line

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 bshipley@hcpro.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.

MedPAC makes recommendations for FFS payment updates in annual report

Mar 22, 2019
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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
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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.

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