By now, all long-term care (LTC) facilities are well aware of the deadline for ICD-10 coding. In August, the Department of Health and Human Services approved a one-year extension, giving providers until October 1, 2014. Learn how early coordination with your facility's billing service will help your facility meet the deadline.
In November, the OIG released a report assessing the impact of changes that were implemented seven years ago, specifically changes applying to the ALJ level. OIG analyzed all of the ALJ-decided appeals in fiscal year (FY) 2010, including interviews with ALJs and Qualified Independent Contractors (QIC), a review of policies and procedures, and data on CMS participation during this level of appeal.
A new report released in November by the OIG reveals startling statistics regarding reimbursement claims submitted to CMS by SNFs in 2009, adding to the already pervasive concern about SNFs improperly billing for therapy in order to obtain additional Medicare reimbursement.
With the new year upon us, the long-term care industry is looking ahead to more changes and clarifications. Billing Alert for Long-Term Care reached out to advisors and consultants in the industry to take broad look at what billing departments need to prepare for in the coming year and the overall state of the industry. Let's take a look at what they said to look out for in 2013.
CMS announced in August that it would release comparative billing reports (CBR) to SNFs, and by September, 5,000 facilities received reports that provided comparative data with other providers in the same field.
Section 6102 of the Resident Protection Affordable Care Act dictates that SNFs and nursing facilities must have implemented a compliance and ethics program by March 23, 2013. The compliance program should act as a vehicle to detect criminal, civil, and administrative violations.