New Medicare Card: When Will My Medicare Patients Receive Their Cards?
Starting April 2018, CMS will begin mailing new Medicare cards to all people with Medicare on a flow basis, based on geographic location and other factors. Learn more about the Mailing Strategy. Also starting...
Reporting Changes in Ownership — Reminder
A 2016 Office of the Inspector General (OIG) report noted that providers may not be informing CMS of ownership changes. Providers must update their enrollment information to reflect changes in ownership within 30 days....
Newly Revised Skilled Nursing Advanced Beneficiary Notice of Non-Coverage
CMS is releasing a newly revised SNFABN along with newly developed, concise and separate instructions for form completion.
The revised SNFABN has the requirements from the denial letters and looks very similar to...
Residents Admitted with Medicare Savings Plan Eligibility
When an individual is admitted to the nursing home and is receiving coverage through the Medicare Savings program only, a new application and verifications are required. The Medicare Savings program assists with Medicare out...
Sunflower Health Plan Introduces Portal Document Upload Functionality
Sunflower Health Plan has announced new document upload functionality available on the Sunflower Secure Provider Portal. This will save members time and postage sending requested medical records. This is a secure portal. A login...
CMS Targeted Probe and Educate Program
CMS has instituted a new Targeted Probe and Educate (TPE) program to help providers and suppliers reduce claim denials and appeals through one-on-one education.
Most providers will never need TPE. The process is only...
KanCare Liason Program Update
The KanCare Liaison Program is introducing a monthly newsletter. Each month, this communication will act as a hub connecting all participants across the program with the latest updates, resources, and upcoming events.
View the first...
UnitedHealthcare Quick Reference Guide
UnitedHealthcare has a new Quick Reference Guide that every organization working with KanCare needs.
SNF Revenue Cycle Management
McKnight’s Long Term Care News has a great article on their website regarding Revenue Cycle Management. With all of the changes from Managed Care in Medicaid and Medicare, SNFs need to give increased focus...
KanCare Liason Program Update
The KanCare Liaison Program has a new issue of their monthly newsletter. Each month, this communication will act as a hub connecting all participants across the program with the latest updates, resources, and upcoming...
UnitedHealthcare Corrected/Voided Claim Change
UHC is now requiring all Providers to submit corrected/voided claims with the UHC claim ID found on your Remittance Advices. Please discontinue using the KMAP ICN to reference original claims.
If you have access to...
Sunflower Provider Refresher Training
Sunflower Health Plan is hosting an online Provider Orientation Refresher on March 29th at from 12:00pm to 1:30pm. This orientation will provide information to attendees on Sunflower’s processes and departments including:
Behavioral Health Changes
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