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Now viewing articles posted in 2024.

  • Kepro Rebranding: Kepro is becoming Acentra Health

    Kepro Rebranding: Kepro is becoming Acentra Health

    April 24th, 2024


    Kepro, the Medicare Quality Improvement Organization (QIO) responsible for Skilled Nursing Facility (SNF) termination appeals is rebranding. Kepro will soon be known as ACENTRA HEALTH. The target date for the rebrand “go live” is August 1, 2024.

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  • CMS ISSUES FINAL RULE

    CMS ISSUES FINAL RULE

    April 11th, 2024


    WHAT YOU NEED TO KNOW

    On April 4, 2024, CMS announced that Medicare Advantage (MA) appeals will parallel the same review process as traditional Medicare allowing MA plan enrollees to have access to the fast-track appeals process now.

     

    Key elements include: Independent Review

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  • CMS Releases FY 2025 Proposed Rule

    CMS Releases FY 2025 Proposed Rule

    April 2nd, 2024


    CMS Releases FY 2025 Proposed Rule: SNFs In Line to Receive 4.1% Reimbursement Increase

    WHAT YOU NEED TO KNOW

    On March 28th CMS issued Fiscal Year 2025 Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities proposed rule. This proposal contains many areas of importance and significance for SNF providers specifically as it relates to payment, quality, civil monetary penalties, and more. Key elements of the proposed rule include:

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    Posted in: Compliance, News
  • MDS Section G -GG Transition and the Impact on Quality Measures

    MDS Section G -GG Transition and the Impact on Quality Measures

    February 29th, 2024


    MDS Section G -GG Transition and the Impact on Quality Measures THIS SESSION IS NAB APPROVED #20250326-1-A100638-DL With t...
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    Posted in: News
  • AETNA TO IMPLEMENT PTA & COTA REDUCTION

    AETNA TO IMPLEMENT PTA & COTA REDUCTION

    February 28th, 2024


    AETNA TO IMPLEMENT PHYSICAL THERAPY ASSISTANT (PTA) AND CERTIFIED OCCUPATIONAL THERAPY ASSISTANT (COTA) REDUCTION EFFECTIVE MARCH 1, 2024: Aetna has announced they will implement a payment reduction when outpatient therapy services are provided in whole or in part by a physical therapy...
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    Posted in: Compliance, News
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