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Gawenda Seminars

Seminars and Consulting

Upcoming Seminars

Understanding the Complex World of Therapy Services:
Documentation, Coding and Billing for Physical & Occupational Therapy

Join us at venues in TX and LA from Jan 22nd – Feb 28th. More Details

Part A

Medicare 2020 Deductibles and Premiums Announced

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The Centers for Medicare and Medicaid Services (CMS) has announced the 2020 Medicare Part A and Part B premiums and deductibles. In this article, I will provide you with what the premiums and deductibles are for 2020 and how the Medicare beneficiaries Part B deductible can impact the annual therapy threshold dollar amount dependent upon was the deductible met before or after they received outpatient physical, occupational and/or speech therapy services.

Question

What is the 2020 Medicare Part B deductible?

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Question

How does the Part B deductible impact the annual therapy threshold dollar amount?

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Question

What is the standard monthly premium for Medicare Part B enrollees?

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Question

What does Medicare Part A cover?

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Question

What is the Medicare Part A deductible in 2020 if admitted to the hospital?

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Question

What is the Medicare Part A co-insurance amount in 2020 if admitted to the hospital?

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Question

What is the Medicare Part A co-insurance amount in 2020 for days 21-100 if admitted to a skilled nursing facility?

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For a fact sheet on the 2020 Medicare Parts A & B premiums and deductibles, click

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I hope you found this information helpful. Thank you for being a Gold Member!

Skilled Nursing Facility Provider Preview Reports

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The Centers for Medicare and Medicaid Services (CMS) has released updated skilled nursing facility (SNF) provider feedback reports. The data contained within the Preview Reports is based on quality data submitted by SNFs during the following quarterly timeframes:

  • Quarter 3 – 2017 to Quarter 2 – 2018 data
    • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay) (#0674)
    • Percent of Residents or Patients with Pressure Ulcers That Are New or Worsened (Short Stay) (NQF #0678)
    • Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function (#2631).
  • Quarter 4 – 2016 to Quarter 3 – 2017 data
    • Medicare Spending Per Beneficiary – Post-Acute Care (PAC) Skilled Nursing Facility Measure
    • Discharge to Community- Post Acute Care (PAC) Skilled Nursing Facility (SNF) Quality Reporting Program (QRP)

For instructions how to retrieve your SNF Provider Feedback Reports, click HERE. Want to see how your SNF compares to other SNF’s? Click HERE to access the Nursing Home Compare website.