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...
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...
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...
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...
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...
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...
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...
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...
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:...