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CHANGES IN NGS LOW UTILIZATION COST REPORT FILING REQUIREMENTS

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Monday, 19 January 2009

In a letter to providers dated December 19, 2008, National Government Services (NGS) has announced a change in the requirements to file a low utilization cost report for all NGS providers.  Effective for cost reporting periods ending on or after December 31, 2008, no NGS provider claiming Medicare bad debts on the cost report will be permitted to file a low utilization cost report.  In order for an NGS provider to claim Medicare bad debts on a cost report, the provider will be required to file a full cost report. Read full article

 

MEDICAL SPOUSAL IMPOVERISHMENT STANDARDS FOR 2009

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Thursday, 18 December 2008

The Illinois Department of Healthcare and Family Services has published the spousal impoverishment standards that will be in effect beginning January 1, 2009. Read full article

 

WHAT IS AN ALLOWABLE MEDICARE BAD DEBT AND WHAT IS NEEDED TO SUPPORT IT

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Wednesday, 17 December 2008
It is the time of year when you may be reviewing your accounts receivables and writing off Medicare Part A coinsurance as a bad debt to be claimed on your Medicare cost report.  This is to remind you of what qualifies as a Medicare bad debt and what supporting documentation is needed to be available should it be requested by your fiscal intermediary. Read full article
 

LAUNCHING OF THE FIVE-STAR RATING SYSTEM

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Wednesday, 17 December 2008
On December 18, 2008, the Centers for Medicare and Medicaid Services (CMS) will unveil its Five-Star Quality Rating System on the Nursing Home Compare website.  Providers will have received access to their individual Five-Star rating beginning December 16, 2008. Read full article
 

MDS 3.0 “ITEM SET” REVISED DRAFT AVAILABLE

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Tuesday, 25 November 2008

The Centers for Medicare and Medicaid Services (CMS) has released yet another revised draft of the Minimum Data Set (MDS) 3.0, referred to as the “MDS 3.0 Item Set Draft.”  

The newly revised draft of the MDS has a new face with various MDS sections reorganized throughout the draft.  For example, “Signatures of Persons Completing the Assessment” has been moved to the end of the MDS under a new Section Z, “Assessment Administration.”  There are new additions to the MDS which will be useful in distinguishing provider type [e.g., Skilled Nursing Facility (SNF), Swing Bed], discharge status, and end date of most recent Medicare stay.  The look-back period is now clarified as 7 days for all items, unless another time frame is indicated.
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