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Friday, 05 February 2010 |
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Nursing home residents can change Medicare Part D plans at any time of year, regardless of the open enrollment period of November 15 through December 31. The new plan typically takes effect the first day of the next month after the change. It is possible that nursing home residents are not in the most beneficial plan for them because the resident has not reviewed their plan options in years. Read Full Article.
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Friday, 05 February 2010 |
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Wisconsin Physicians Service (WPS) providers will need to recertify their active direct data entry (DDE) user IDs on an annual basis as an extra security requirement. Failure to comply with the WPS request will result in suspension of the provider’s user ids.
WPS will start mailing letters, along with the DDE user recertification forms, the week of January 18, 2010. The business office staff will need to respond to the request in a timely manner to avoid deactivation of their user IDs. The due date for the form will be indicated in the letter sent to providers. Read Full Article.
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Monday, 18 January 2010 |
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Medicare Advantage plans (MA) are health plans approved by Medicare but managed by private insurance companies. They are part of the Medicare program and are often called Medicare Part C or Medicare HMOs.
Medicare beneficiaries enrolled in an MA plan are subject to the following guidelines if they convert from an MA plan to traditional Medicare: Read full article.
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Wednesday, 16 December 2009 |
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The Public Act of 96-0743 was passed by the Illinois General Assembly on August 25, 2009. This bill requires the Illinois Department of Healthcare and Family Services (HFS) to reimburse nursing facilities for ventilator-dependent residents using a separate system from the prior method through the MDS-based reimbursement system. Read full article.
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Saturday, 21 November 2009 |
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In a recent skilled nursing facility (SNF) open door forum, two issues regarding SNF 3-day hospital qualifying stays were raised.
Observation Days
SNFs have begun to see hospital observation stays lasting for extended periods of time. In Minnesota, several SNFs reported patients have been in observation stays of 4 – 13 days. The CMS hospital manual states that observation days should not routinely last for more than 24 - 48 hours. SNF providers need to be aware of this since these observation days will not count toward the 3-day qualifying hospital stay per CMS regulations. Read full article.
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Long Term Care 
