What you need to know about the updated MDS items sets for 2019

Source: The Bottom Line
CMS posted a new DRAFT version of the 2019 MDS item sets (v1.17.0) last week. This version is scheduled to become effective October 1, 2019, giving facilities until then to update their software with the new MDS questions and answers. Downloadable files can be accessed here: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIMDS30TechnicalInformation.html
HCPro’s post-acute regulatory specialist Stefanie Corbett, DHA, reports the following changes:
New assessment types added – Optional State Assessment (OSA) and Interim Payment Assessment (IPA)
Discontinued assessment types …

Special deal: Get Your First Year of Biller’s Association Membership for $155!

The Billers’ Association for Long-Term Care (BALTC) is a membership community created specifically for professionals involved in the long-term care revenue cycle. This national association provides members with a resource of continuously updated tools, reimbursement and regulatory guidance, and education to help prevent revenue loss and documentation and billing errors so providers can withstand audits at any point in time.
With its involved expert advisory board members and active talk group, this engaged group of professionals …

Special requirements for billing urology supplies & updated DMEPOS fee schedule

Source: The Bottom Line
Medicare covers urinary catheters and external urinary collection devices when they are used to drain or collect urine for a resident with permanent urinary incontinence or permanent urinary retention. According to CMS, permanent urinary retention occurs when the condition is not expected to be medically or surgically corrected within three months. The urology benefit under Medicare Part B does not cover the treatment of chronic urinary tract infection or other bladder conditions …

MedPAC publishes resource for SNFs: Payment basics

By The Bottom Line.
MedPAC released their Payment Basics for SNFs 2018 report, which provides an overview of Medicare coverage and reimbursement. You can download this resource from The Billers’ Association resource library. The report includes a map explaining how reimbursement is calculated under the current prospective payment system, Medicare daily base rates for FY19, and the RUG-IV classification system.
The initial payment rates were set in 1998 to reflect the projected amount that SNFs received in …