Here are several tidbits of info from our Reimbursement Consultant, Josh Johnson. Email him at reimbursement@leadingagekansas.org with questions.

  • PBJ for 7/1/2019 – 9/30/2019 is due by November 14th, 2019.
  • Medicare providers must start billing with the new MBI number beginning January 1, 2020, regardless of the date of service.
  • Billing for PDPM starts 11/1/2019

As you prepare to bill under PDPM:

  • Have you verified your diagnosis are not RTP?
  • Did you complete an IPA for those patients that crossed months?
  • Have you completed the MDS to include all morbidities to ensure you are getting paid for services provided?
  • Have you or your software provider updated the rates and other appropriate information to ensure accuracy in billing?

As you begin to bill, please let us know reimbursement@leadingagekansas.org if you encounter any issues so that we can report to CMS and or let other providers know.

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Rachel Monger, JD, LACHA is President/CEO. Rachel joined LeadingAge Kansas in 2011 as the Director of Government Affairs and has been a powerful voice for our membership ever since. Rachel is a Kansas licensed attorney and adult care home administrator. She received her bachelor’s degree from Bard College at Simon’s Rock in Great Barrington, MA, and her Juris Doctorate from the University of Kansas School of Law. Over the years, Rachel has served in many volunteer roles in her community and in the state of Kansas to support senior needs, aging services education, and community mental health services. She is also a member of the Board of Governors for the Kansas Health Care Stabilization Fund. As an award-winning trial lawyer, turned award-winning senior care advocate, she has spent nearly two decades passionately supporting quality of care and quality of life for Kansas seniors. When not at work, Rachel loves reading, crafting, volunteering with her church, and spending time with her partner Steven. You can reach Rachel directly at 785.670.8046.