Updates to Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) claims

Mary MadisonIndustry, Secure NewsLeave a Comment

MLN Matters Number: MM11992 was posted November 6, 2020 with same title as this blog. This MLN Matters Article is for Skilled Nursing Facilities (SNFs) and hospital swing bed providers billing Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries.  This article informs you of an update to SNF Patient-Driven … Read More

FY 2021 PDPM ICD-10 mappings posted

Mary MadisonIndustry, PDPM blog, Secure NewsLeave a Comment

CMS has posted the ICD-10 PDPM Mappings for FY2021 on this webpage.  Scroll down the page to find: https://www.cms.gov/files/zip/fy-2021-pdpm-icd-10-mappings.zip-0 is the direct link to this .zip file. You’ll find these spreadsheets when you access that .zip file. Want to keep up with the changing COVID-19 situation in skilled nursing? Subscribe … Read More

SNF patient-driven payment model interrupted stay issue

Mary MadisonIndustry, Secure NewsLeave a Comment

A new issue is affecting some inpatient hospital and Skilled Nursing Facility (SNF) claims when an interrupted stay is billed at the end of the month. The system incorrectly assigns edits U5601-U5608 (overlapping a hospital claim). If you billed the interrupted stay correctly, and your claim is rejected, modify your … Read More

20/20 vision: Your questions answered!

Melina HalikiasPDPM blog, Secure NewsLeave a Comment

On Tuesday, Feb. 11, 2020, SimpleLTC and Briggs Healthcare offered a free webinar, “20/20 vision: What’s in store for PDPM, RoPs, and the MDS,” covering strategies to enhance your PDPM expertise, prepare for the new MDS item sets, and more. Based on questions asked during the webinar, Mary Madison prepared … Read More