CMS to Fix PDPM Variable Per Diem Glitch - Hallo friend American jobs and vicinity, In the article you read this time with the title CMS to Fix PDPM Variable Per Diem Glitch, we have prepared well for this article you read and download the information therein. hopefully fill posts Article bank, Article contracting, Article general, Article health, Article manufacturing, Article marketing, Article teachers, Article telecommunications, Article The latest, we write this you can understand. Well, happy reading.

Title : CMS to Fix PDPM Variable Per Diem Glitch
link : CMS to Fix PDPM Variable Per Diem Glitch

CMS to Fix PDPM Variable Per Diem Glitch

SNF PPS Part A claims were not being paid day-1 variable per diem rates when a beneficiary switched from Medicare Advantage (MA) to fee-for-service Medicare Part A during a stay. AHCA reported to CMS that this was inconsistent with current policy.

CMS agreed with AHCA and on May 8 published a change request to the Medicare Administrative Contractors (MACs) to update the claims processing systems retroactive to October 1, 2019. A summary of the changes is posted in this MLN Matters article. Although this is retroactive, the systems changes will not occur until October 5, 2020.

Providers should notify billing staff that the MACs will adjust any improperly adjusted SNF PPS claims related to a beneficiary switch from MA to fee-for-service during a stay ONLY IF BROUGHT TO THEIR ATTENTION, so that the prior days count is corrected to exclude the MA days.

Thus Article CMS to Fix PDPM Variable Per Diem Glitch

that is all articles CMS to Fix PDPM Variable Per Diem Glitch This time, hopefully can provide benefits to all of you. Okay, see you in another article post.

You now read the article CMS to Fix PDPM Variable Per Diem Glitch with the link address https://americanjobsandvicinity.blogspot.com/2020/05/cms-to-fix-pdpm-variable-per-diem-glitch.html

Tweet

Subscribe to receive free email updates: