New CMP amounts adjusted for inflation and quarterly updates to NCCI PTP edits available

Source: The Bottom Line
New CMP amounts that have been adjusted for inflation and are effective October 11, 2018 were announced in a final rule published by CMS on January 22, 2019. The adjusted amounts apply to CMPs assessed on or after October 11, 2018. For SNFs, NFs and SNF/NFs, the CMP Analytic Tool instructions and calculations will be updated to reflect these changes. Appendix A of the final rule announcement contains the new rates, which …

States now required to conduct at least 50% of off-hour surveys on weekends for facilities with potential staffing issues

Source: The Bottom Line
A list of facilities with potential staffing issues is being provided to CMS regional offices and state survey agencies to support survey activities for evaluating sufficient staffing, according to a memo released by CMS back in November, 2018. The memo states that “while CMS is encouraged by facilities’ efforts to improve staffing,” payroll based journal (PBJ) data has raised a few concerns, prompting them to inform state survey agencies of facilities with …

CMS alert: CY2019 DMEPOS fee schedule update and KX modifier amounts

Source: The Bottom Line
CR 11064 (MLN Matters) provides the Calendar Year 2019 annual update for the Medicare DMEPOS fee schedule. The update includes information on the data files, new and deleted HCPCS codes, adjusted fee schedule amounts, and other information related to the update of the fee schedule. Click here to read the full article.
KX modifier amounts for CY19 were released and are as follows:

KX Modifier threshold amount for PT and SLP combined = $2040
KX …

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 …