Aetna Issues?
As you have all seen in recent news, there continues to be issues with the Aetna contract. As of right now, there doesn’t appear to be any large scale issues with the non-profit SNF...
Join the Reimbursement Work Group
LeadingAge Kansas members with knowledge of the current Medicaid Nursing Facility reimbursement system are welcome to join our ad hoc Reimbursement Work Group. Those interested in participating will convene via conference call for the...
Upcoming Medicaid Trainings
KDHE will be offering a number of training courses on Medicaid for providers. These courses will be very helpful for staff who are new to the filed or those wanting a refresher course.
More information.
Deadline...
New Medicare Cards
The new Medicare card transition period ends in less than 5 months. Starting January 1, 2020 all providers must use the MBI number (Medicare Beneficiary Identifier) on claims. Medicare will reject claims with the...
If I Don’t Have a Contract With a Medicare Advantage Plan, Can I Still...
Q: If I don’t have a contract with a Medicare Advantage plan, can I still get paid?
In recent months, we’ve heard from members who do not have a signed contract with a Medicare Advantage...
Join the Medicaid Nursing Facility Reimbursement Work Group – 1st Conference Call Sept. 10th
LeadingAge Kansas members with knowledge of the current Medicaid Nursing Facility reimbursement system are welcome to join our ad hoc Reimbursement Work Group. We are seeking recommendations for improvement/modifications in the current methodology. Those...
Sunflower Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs)
Sunflower is pleased to partner with PaySpan Health to provide an innovative web based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs). This service is provided at no cost to providers and allows...
Aetna in Hot Water
In case you haven’t heard, there continues to be pressure on Aetna to perform better for Kansas providers. Read more here.
Aetna Better Health of Kansas Makes Immediate Changes to Address KanCare Shortcomings
Aetna Better Health of Kansas has created a specialized email box for provider claims issues that need to be escalated for an immediate review. The email address is ABHKSEscalations@AETNA.com. Please use this address if you...
A Word From Our Reimbursement Consultant
One of the topics that we have been discussing as of late is the possibility of creating a tool box of financial and revenue cycle information that providers could use for resources and training....
CMS Fixing SNF Payment Calculation Error
CMS notified Skilled Nursing Providers on Aug. 22 that there was a calculation error in the FY2016 baseline period performance data that excluded certain SNF stays erroneously. CMS will be issuing corrected FY2020 Performance...
IMPORTANT: CMS Posts Final Version of MDS 3.0 and Allowable ICD Codes Available
CMS has posted the final version (V3.00.1) of the MDS 3.0 Data Specifications for Skilled Nursing Facilities, which take effect Oct. 1. They also released the file of the allowable ICD codes in item I0020B...