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...
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...
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...
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....
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,...
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...
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...
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...
FE/PD Waiver Updates
Kansas is getting ready to renew its Frail Elderly (FE) and Physical Disability (PD) Waiver with the Centers for Medicare and Medicaid Services (CMS). Kansas must resubmit the Waiver with any changes to CMS....
Why is My Reimbursement Less Than the Published Medicare Rate?
There are multiple factors that are impacting rates this year, and it can be quite confusing.
First, there is 2% withheld to fund the value-based purchasing (VBP) program, but that is already built into the...
Cost Report Navigator Tool Available
Your business office is very likely buzzing with energy these days as you prepare for annual meetings, cost reports and quarterly reports that are due to various government entities. As a reminder PBJ for...
Budget Updates
The Kansas Legislature is grinding through its work. Soon they will be reconciling the Senate and House’s version of the SFY 2020 budget (starts July 1, 2019.) The Governor’s budget recommendation had a 0%...