Beginning April 1, 2022- Sequestration Resumes for Medicare Claims. The Protecting Medicare and American Farmers from Sequester Cuts Act impacts payments for all Medicare Fee-for-Service (FFS) claims: No payment adjustment through March 31, 2022 1% payment adjustment April 1 – June 30, 2022 2% payment adjustment beginning July 1, 2022 Celtic supports our clients by … Continue reading
November 15th deadline for CT Providers to transmit MDS assessment corrections included on the Final Resident Roster report is next week. Take this opportunity to ensure your MDS assessments captured the most accurate CMI for resident care. The Final Resident Roster Report will be posted on December 10th. As a case mix consultant to nursing … Continue reading
Preliminary Resident Roster reports are available to retrieve from the Myers and Stauffer portal. You have until 11/15/21 to submit corrections. Now is the time to assess your standings in the new Case Mix payment system. Are you capturing the most accurate CMI for resident care? Celtic’s best practices have helped providers optimize their Medicaid … Continue reading
The U.S. Department of Health and Human Services recently renewed the Public Health Emergency (PHE) determination, extended at least until January 2022. Take this opportunity to ensure supportive documentation is captured when using available SNF waivers. Celtic supports its clients in our ever-changing industry by providing education and guidance on the most up-to-date information. Contact … Continue reading
All MDS assessments must be submitted and accepted by 11:59pm on Friday, October 15th to be included in the Preliminary Case Mix Roster reports. During the Shadow Case Mix System period, all MDS assessments are used to calculate facility specific rates based on the Case Mix Index. Celtic’s best practices have helped providers optimize their … Continue reading
Effective October 1, 2021, MassHealth will require nursing facilities to complete: Items GG0130 and GG0170 Item I0020, including I0020B Item J2000 Item J2100 If response to Item J2100 is ‘Yes’, then Items J2300 – J5000 must be completed Providers should prepare by verifying software setup meets new requirements for entry and transmission on OBRA assessments; … Continue reading
The Connecticut Department of Social Services (DSS) recently announced the Office of Policy Management (OPM) has approved a three-year plan for the implementation of a Medicaid Case Mix Index payment system in Connecticut. The outlined plan includes multiple phases, with full Case Mix implementation scheduled to occur in 2024. Important Dates: CT Case Mix Rollout … Continue reading
Final Resident Roster reports are available to retrieve from the Myers and Stauffer portal. As a case mix consultant to nursing home associations and the State of Connecticut, Celtic has unique insight and helps to position our clients to be successful. Wondering how the CMI payer system will influence your reimbursement and clinical operations? Celtic … Continue reading
Did you receive a letter of non-compliance in your CASPER folder? Check here for source details, they were placed on July 14, 2021. You have until 11:59 PM, August 13, 2021, to request a reconsideration of non-compliance with CMS. Remaining out of compliance will impact your FY 2022 Annual Payment Update (APU). Celtic’s subject matter … Continue reading
CMS announced MACs plan to resume post-payment reviews for dates of service after March 2020. Uncertain how prepared you are for a MAC medical review? Celtic helps our clients establish successful practices to minimize the risk of revenue recoupment and offers support to build strong responses during post-pay audits. Source details available here… Continue reading