Experiencing DME Complications?
CMS recommends these three resources if you have general questions about the Durable medical Equipment (DME) competitive bidding program, or if you are experiencing delays, problems with delivery, complications with paperwork being rejected, etc.:
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Sunflower Health Plan Participating Provider Amendment
Sunflower Health Plan recently sent out an Amendment to their KanCare Participating Provider Agreement. The cover letter has the KanCare logo on it. This Amendment pertains to Sunflower’s sister company, Celtic Insurance Company, which is...
Sunflower Health Plan Fall Regional Provider Workshops
Sunflower Health Plan is offering Regional Provider Workshops this Fall. These trainings include an in-depth look at common billing errors affecting providers’ accounts receivables.
PITTSBURG, KS: Monday, September 19, 2016, 10:00 AM - 12:00 PM or...
Have You Applied for Advance Payments?
The updated Advance Payment Protocol is in place and working! LeadingAge Kansas has heard from one member who has received payment. The state has a team dedicated to expediting these applications. This could be...
2015 Medicaid Cost Report Navigator Task Force Forming
LeadingAge Kansas has received the 2015 Cost Report data and is working on the latest version of the Medicaid Cost Report Navigator. We need your input. If you use the Navigator, what changes or...
Need Reimbursement Help?
Lisa Stuever, Reimbursement Specialist, is here for you! Lisa works hard to find answers for you on Medicaid, Medicare and other reimbursement issues. She can help you with the Advance Payment Protocol and give...
HCBS Rate Negotiation Progress – How Are You Doing?
Have you had any luck negotiating HCBS rates to move residents from Long-Term Care to Assisted Living? LeadingAge Kansas wants to hear from you! Your stories help us assist others and make progress in...
PBJ Registration Deadline is Coming
Just a reminder for all members that the 1st mandatory deadline for Payroll Based Journaling (PBJ) data is November 14, 2016. At this time, CMS is reporting that 22% of Kansas nursing homes have...
CMS Final Rule for SNFs, Fiscal Year 2017
CMS recently published a Final Rule which outlines fiscal year (FY) 2017 Medicare payment policies and rates for the Skilled Nursing Facility Prospective Payment System (SNF PPS), the SNF Quality Reporting Program (SNF QRP),...
HCBS Rates in Assisted Living Settings are Negotiable
During a meeting with United Healthcare representatives last week, the topic of HCBS in the Assisted Living setting was discussed. LeadingAge Kansas shared members’ frustration with the low reimbursement rates, with members reporting an approximate 50%...
KanCare Principal Diagnosis Denial
United Healthcare is reporting that they are seeing Principal Diagnosis denials. They submitted a ticket on this concern early last week and are waiting the final information to have them corrected. Until they receive the information, the...
KanCare All MCO HCBS Training
KanCare is hosting training for HCBS at various locations. This is a great opportunity for members to review their HCBS training or train new staff. Locations and dates are:
July 28th – Hays,Ks
August 2nd...