CMS removes functional reporting requirements and changes therapy provisions

CMS has released an update on therapy caps and functional reporting.
Effective for dates of service on or after January 1, 2018, providers of therapy services shall continue to report the KX modifier on claims as applicable; however, the modifier no longer represents an exception request but serves as a confirmation that services are medically necessary as justified by appropriate documentation in the medical record after the beneficiary has exceeded the threshold of incurred expenses.
Therapists must …

Revenue integrity enthusiasts: Do you have what it takes to present at RIS?

The National Association for Healthcare Revenue Integrity (NAHRI) is currently seeking speakers to present at the 2019 Revenue Integrity Symposium (RIS), to be held October 15–16, 2019, at the Renaissance Orlando at SeaWorld in Orlando, Florida. RIS attendees will be eligible to earn CHRI CEUs and speakers will be eligible to earn additional CHRI CUEs. Speakers are welcome to present on all aspects of revenue integrity, Medicare compliance, and the revenue cycle in acute and …

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 …