After the release of the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) FY 2019 Final Rule, AHCA has received many questions about the order...
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Cil Bullard, the State RAI/OASIS Coordinator, has provided guidance from the Centers for Medicare and Medicaid Services (CMS) on three questions about correct MDS coding...
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CMS wants its Quality Payment Program website to meet the needs of the clinician community, by providing streamlined access to information and minimizing undue burdens...
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On July 31, the Centers for Medicare & Medicaid Services (CMS) issued the final rule for fiscal year (FY) 2018 Medicare payment rates and quality...
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DMAS has informed VHCA-VCAL that the promised RUGs history/comparison reports are now available through their eDoc Management system for each nursing center. To access your...
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On May 8 the Department of Medical Assistance Services (DMAS) issued a provider memo on the new direct and indirect operating base rates and an...
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On April 27, CMS issued a notice of proposed rulemaking (NPRM) for the skilled nursing facility (SNF) prospective payment system (PPS) fiscal year 2018 update. ...
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CMS has announced that effective today, April 13, 2017, questions regarding any of the Fee For Service Beneficiary Notice Initiative (BNI) notices may be sent...
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The Department of Medical Assistance Services (DMAS) is moving forward with the switch from the current RUG-III 34 grouper to the RUG-IV 48 grouper for...
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The Centers for Medicare and Medicaid Services (CMS) will hold a call on the Skilled Nursing Facility (SNF) Value-Based Purchasing (VBP) Program on March 15...
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The Centers for Medicare and Medicaid Services (CMS) has delayed the effective date for the second mandatory hospital bundling program issued in January. AHCA/NCAL had...
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Message from Mark Parkinson, AHCA/NCAL President and CEO As Congress considers Medicaid reforms, “the future of our Medicaid funding faces its greatest threat in my...
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DMAS has announced that the protest period on the CCC Plus contract has ended. The agency has resumed activity on the contract procurement as of...
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Earlier this week the Department of Medical Assistance Services (DMAS) released a draft of the contract it will use with each of the managed care...
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AHCA has developed a summary of the Medicare Physician Fee Schedule (PFS) final rule for 2017 issued in November. The final rule updated Medicare Part...
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CMS will host a national provider call on how the implementation of the Skilled Nursing Facility (SNF) Value-Based Purchasing (VBP) Program will affect your Medicare...
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[caption id="attachment_75475" align="alignright" width="300"] Photo courtesy of the U.S. Senate Special Committee on Aging[/caption] The leaders of the U.S. Senate Special Committee on Aging have...
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The Centers for Medicare and Medicaid Services (CMS) has released the federal fiscal year 2017 (FY17) Skilled Nursing Facility Prospective Payment System (SNF PPS) final...
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The Centers for Medicare & Medicaid Services (CMS) has issued a lengthy proposed rule aimed at expanding bundled payments in the Medicare program. The new rule,...
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Earlier this month, we reported that the Department of Medical Assistance Services (DMAS) had fixed the eligibility system’s patient pay calculation/communication issue that had caused...
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As new payment models become the new norm, do you need to know more about how they will affect your center? Our May 26 education...
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As new payment models become the new norm, do you need to know more about how they will affect your center? Our May 26 education...
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Do you need to know more about how bundled payments will affect your center’s bottom line? How do they work for the post-acute care provider?...
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On April 29 the Department of Medical Assistance Services (DMAS) issued its request for proposals (RFP) for the Medicaid Managed Long Term Services and Supports...
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Do you need to know more about how bundled payments will affect your center’s bottom line? How do they work for the post-acute care provider?...
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Do you need to know more about how bundled payments will affect your center’s bottom line? How do they work for the post-acute care provider?...
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Do you need to know more about how bundled payments will affect your center’s bottom line? How do they work for the post-acute care provider?...
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Do you need to know more about how bundled payments will affect your center’s bottom line? How do they work for the post-acute care provider?...
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VHCA has offered comments to the Department of Medical Assistance Services (DMAS) on two reforms of the Medicaid program with impact on nursing centers. The...
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Gov. Terry McAuliffe presented his biennial budget today. For the first time, the Commonwealth’s 2-year spending proposal will exceed $100 billion dollars. While the governor...
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The U.S. Department of Health and Human Services, Office of Inspector General (OIG) has released its 2016 work plan, which describes new and on-going audits,...
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This fall we alerted you that the three Commonwealth Coordinated Care (CCC) Medicare-Medicaid Plans (MMPs) were collectively working on guidance to nursing facility providers to...
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The Centers for Medicare and Medicaid Services (CMS) has finalized a new rule establishing the Comprehensive Care for Joint Replacement (CJR) program, a mandatory bundled...
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Beginning on January 1, 2016, Virginia will be included in a Centers for Medicare and Medicaid Services (CMS) demonstration program aimed at testing a process...
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Humana/ILS sent letters to providers last week indicating that it is migrating to a new back-end claims processing system on December 1 for Commonwealth Coordinated...
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The Department of Medical Assistance Services (DMAS) is currently working on a proposal to “transform” the Medicaid delivery system under the federal Delivery System Reform...
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You may recall that the Department of Medical Assistance Services (DMAS) had planned to implement an automated patient pay reduction against claims utilizing patient pay...
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