Are You Interested in Being Part of the LeadingAge Kansas Reimbursement Advisory Group?
LeadingAge Kansas will be assembling a member advisory group to take a deeper dive in the Medicaid reimbursement methodology and to develop recommendations for improvement. If you would be interested in being a part...
SNF Quality Reporting Program Deadline – May 15
Skilled Nursing Facilities (SNFs) can potentially avoid a 2% reduction on their Medicare Fee For Service (FFS) rates by ensuring they have submitted all necessary MDS data for admissions and discharges between October 1...
From Joshua Johnson – Reimbursement Consultant
It was good to meet so many of you at the LeadingAge Kansas Spring Conference last week. I hope that you all enjoyed the speakers, the Expo and networking as much as I did.
I...
By Failing to Prepare, Are You Preparing to Fail?
Our field is becoming increasingly more complex every year. Member organizations are at a risk of losing all of the knowledge that is held by their long-time billers, MDS Coordinators, Administrators, Director of Nurses,...
Tips on Co-Pays and Co-Insurance
Follow these steps:
Get the prospective resident’s insurance information upon admission or, even better, prior to start of services.
Call and verify that the insurance information you have on file is up-to-date and current....
Medicaid Eligibility Update: State Transition Begins
KDHE has started monthly meetings with the long-term care associations to discuss the upcoming transition of the Medicaid eligibility program back to KDHE. The planned transition date is January 1, 2020. The agency is...
PDPM – A Word From Josh Johnson, Our Reimbursement Consultant
As the year trucks along, so does the October 1st start date for PDPM. Are you prepared? Our partner BKD has put on several presentations. EHR vendors are re-tooling their systems and also providing...
Latest Tip From Josh Johnson, Reimbursement Consultant
On a recent conference call with United Health Care, the MCO mentioned that there are still outstanding members that are billing with a TIN instead of their KMAP number. If you have recently received...
Reimbursement Tips and Tidbits
PBJ is due into CMS by August 15th. Be sure to have your data validated and submitted on or before this date. Some positions that you may want to ensure that you are submitting:...
Medicare SNF PPS Final Rule
CMS released the final rule updating the Medicare skilled nursing facility prospective payment system (PPS). This includes the final payment update based on current data as well as the wage index. In addition, updates are made...
Trouble with Aetna? Please Let Us Know
The state of Kansas has threatened Aetna with termination of their KanCare contract due to non-payment of claims, and a laundry list of other failures. Are you having issues with Aetna? Are you having...