Medicare Learning Network
CMS Call to Provide Guidance on Patient-Driven Groupings Model

The Centers for Medicare & Medicaid Services (CMS) and the Medicare Learning Network will hold a conference call in February 2019 to provide information about the Patient-Driven Groupings Model (PDGM), a radical change in home health payment. The call will occur on Tuesday, February 12, 2019 from 1:30 to 3:00 PM Eastern Time. The intended […]
Read MoreReminder: Hospices Should Drop Use of Billing “Workaround” for Transfers Starting July 2

Previously, the Centers for Medicare & Medicaid Services (CMS) issued the Medicare Learning Network (MLN) Matters® article, SE17014 (https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNmattersArticles/downloads/SE17014.pdf). This article instructed hospices to utilize a “workaround” under which a hospice that received a transfer patient reports the benefit period start date as the admission date on claims. This was necessary to ensure the days […]
Read MoreWebinar on How to Use the Medicare Cost Report e-Filing System

The Medicare Learning Network will hold a webinar how to use the Medicare Cost Report e-Filing (MCReF) system on May 1, 2018 from 1:00 PM to 2:30 PM ET. Register for this event RIGHT HERE. The target audience for this webinar is Medicare Part A providers and entities that file cost reports for providers. Beginning […]
Read MoreCMS Hosting Low Volume Appeals Settlement Call Jan. 9

As part of the broader Department of Health & Human Services commitment to improving the Medicare appeals process, the Centers for Medicare & Medicaid Services (CMS) is making available an additional settlement option for providers and suppliers (appellants) with appeals pending at the Office of Medicare Hearings and Appeals (OMHA) and the Medicare Appeals Council […]
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