Medicare Physician Fee Schedule for Calendar Year 2019:
The final rule was published by CMS on November 1, 2018. Watch for our updated fee screen schedules to be released in January.
PDPM Transition Assessment
Do you know how the new Patient Driven Payment Model will affect your payments? We can crosswalk residents from the current RUG IV payment model to the new patient driven payment model. With a sampling of current census, MDS data, and RUGS information we can project your reimbursement changes. Contact Stephanie Eaves or your client manager for details.
CMS will provide state survey agencies with PBJ Data:
CMS will provide state survey agencies with a listing of facilities with potential staffing issues. The list will support survey activities for evaluating sufficient staffing according to Quality, Safety, and Oversight Memo (19-02-NH) released November 30. Facilities with low staffing on weekends and reported days with no RN coverage are specifically addressed in the memo.
2019 Medicare Part A Coinsurance Rate :
For beneficiaries in skilled nursing facilities, the daily coinsurance for days 21 through 100 of extended care services in a benefit period will be $170.50 in 2019 ($167.50 in 2018).
New and Updated Reports in Certification and Survey Provider Enrollment Reporting (CASPER):
Please continue to check the CASPER system for reports that are both new and updated. Keeping abreast of these reports will help you stay abreast of compliance and reporting requirements. As always, you can contact our office to assist.