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...
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...
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....
Provider Enrollment Application Wizard Training
KDHE is implementing a new Provider Enrollment (PE) Wizard. It will be available for use on March 12, 2018. This solution will replace the existing online Provider Enrollment application for new provider applications and...
Medicaid Provider Application Fee Update
Medicaid Providers in the State of Kansas must pay an application fee for new provider applications, re-enrollments (revalidations), and reactivations. However, if your organization is a Medicare provider, you are exempt from the application...
Fourth Quarter Provider Assessment Due January 30, 2018
The Quality Care Assessment on licensed nursing facility beds for the quarter ending December 30, 2017 was posted December 29, 2017, on the KDADS website on the KDADS Bed Assessment application. Log on to...
Updated Medicare Learning Network (MLN) Catalog Available
CMS’s updated Medicare Learning Network (MLN) Catalog is now available. This resource offers many products and services that you can download for free. MLN also offers many web-based training courses, some of which can...