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...
Aetna Better Health® of Kansas Executive Update Webinars Announced
Aetna Better Health of Kansas will provide Webinars on October 17th from 9:00 AM-10:00 AM, October 31st from 1:00-2:00 PM and November 11th from 12:00 1:00 PM to share updates on the health plan...
Reimbursement Advisory Group – Next Conference Call October 17
LeadingAge Kansas recently established a Nursing Home Medicaid Reimbursement Advisory group to gain feedback from members about how they think the current reimbursement is working and gather recommendations for modifications. The group’s feedback will...
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...
PBJ Update
Many members are having issues with PBJ and their 5-Star Rating. LeadingAge Kansas is working with LeadingAge National to address member issues. CMS has provided the following contact information for questions.
For questions related to...
CMS Publishes CY 2019 Medicare Premiums and Deductibles
On October 12, 2018, the Centers for Medicare and Medicaid Services (CMS) published the Calendar Year (CY) 2019 premiums, deductibles and coinsurance amounts for Medicare Part A and Part B services.
Medicare Part A -...
Has Your 5 Star Rating Gone Down Due to Payroll-Based Journaling
Several members have contacted LeadingAge Kansas regarding a decrease in their 5 Star Rating due to PBJ. Most of them feel that their data at CMS is incorrect.
According to a recent article on...
Civil Money Penalty Reinvestment Program
CMS has a website that offers assistance to SNFs with tools, ongoing assistance to staff, and ways to apply for funds from the Civil Money Penalty Reinvestment Program to assist your organization.
Go to the...
Is your PBJ Partner Submitting Accurate and Timely Reports to CMS? Big Problem for...
We have learned from some LeadingAge Kansas members that their timekeeping, payroll and PBJ reporting vendors are not getting accurate and timely reports to CMS. For nursing homes, slipshod PBJ reporting to CMS has...
Sunflower Forum for HCBS and LTSS Providers
When: Monday, November 11, 2019, 4:00 -6:00 PM
Where: Fort Hays State University, Memorial Union Black & Gold Room, 700 College Dr., Hays, KS 67601
Reserve your seat today by emailing ProviderRelations@sunflowerhealthplan.com and include attendee’s name, organization name & tax...
Notes from Josh Johnson, Our Contract Reimbursement Consultant
As we are nearly into our second full month of PDPM – we are starting to see some data trends that are insightful. Check out this article in McKnight’s and see if there are...
Medicare Part B Rate Calculator Available
The LeadingAge member-only Medicare Part B rate calculator is now available here. The tool allows a member to identify their location specific rates for Part B services including therapy. It accounts for the rate changes...