ABN Update

The Centers for Medicare and Medicaid (CMS) has issued an article that provides instructions for home health agency (HHA) use of the ABN as the replacement notice for the outgoing Home Health Advance Beneficiary Notice (HHABN), Form CMS-R-296, Option Box 1. In addition, this transmittal includes ABN issuance guidelines for therapy services and therapy specific…

SNFs PEPPER In The Mail

Skilled nursing facilities initiating compliance programs are encouraged to review Program for Evaluating Payment Patterns Electronic Report (PEPPER) reports recently sent to each facility by the Centers for Medicare & Medicaid Services (CMS). These free provider-specific comparative data reports help identify billing practices which may be at risk for administrative review. CMS began mailing PEPPER…

CMS Releases Memorandum On Minimum Data Set (MDS) 3.0 Discharge Assessments that Have Not Been Completed and/or Submitted

On August 23, 2013, the Centers for Medicare and Medicaid Services (CMS) issued a memorandum to state survey agency directors about MDS 3.0 discharge assessments that have not been completed and/or submitted. The memo is intended to help surveyors understand both (a) what nursing homes should do to address inactive residents remaining on their resident…

WPS Adds New Therapy FAQ’s

Wisconsin Physician Services (WPS), Medicare Administrative Contractor for the states of Indiana, Iowa, Kansas, Michigan, Missouri, and Indiana, has add 12 new outpatient therapy FAQs to their website for practices in the above mentioned states. Topics include billing and coding, documentation, functional reporting, modifiers, and general FAQs. To access the FAQs, click