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News for Iowa Health Care Association members and their employees April 3, 2018
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Updated Part B therapy claims processing instructions
(SNF)

As AHCA announced in an earlier article, CMS had begun the process of reprocessing calendar year (CY) 2018 Medicare Part B claims, including those for outpatient physical therapy, occupational therapy, and speech-language pathology services, in order to implement provisions of the Bipartisan Budget Act of 2018. This reprocessing will positively impact affected skilled nursing facility (SNF) providers as it will reverse prior therapy cap related denials across the country, as well as increase Part B payment rates for SNFs in certain geographic locations.

This law, enacted February 9, contained a number of provisions that may have impacted SNF Part B therapy claims, including the Work Government Practice Cost Index (GPCI) Floor, and the permanent repeal of the outpatient therapy caps beginning on January 1, 2018.

Due to the retroactive effective dates of these provisions, your Medicare Administrative Contractor (MAC) was provided additional instructions to automatically reprocess claims impacted by this legislation from April 1 to no later than six months after this date. For the limited number of SNF providers impacted, you will not need to request any reprocessing unless you believe that the MAC systems did not automatically reprocess your impacted claim(s).

CMS also posted a more reader-friendly MLN Matters article that provides additional details about these changes impacting SNFs. Please see AHCA's article, Updated Part B Therapy Claims Processing Instructions - Bipartisan Budget Act of 2018, for more details and further explanation. 
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Education Calendar
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The Art of ICD-10 Coding for Home Health, April 4-5, West Des Moines
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Assisted Living Management Certificate Program, April 9-13, West Des Moines
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Assisted Living Regulatory Nurse Class, April 12, West Des Moines REGISTRATION CLOSED
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CNA and Direct Caregiver Mentorship Program, April 17-18, West Des Moines
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MDS 101 - Introduction to MDS 3.0, May 1, West Des Moines
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MDS 201 - Additional MDS 3.0 Training, May 2, West Des Moines
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SNF Medicare Review, May 9, 2018, West Des Moines
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Medicaid HCBS Elderly Waiver Review, May 16, West Des Moines
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Assisted Living Nurses Conference, May 17, West Des Moines
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LTC Medical Directors, Medical Practitioners & Pharmacists Conference, June 1-2, West Des Moines
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Assisted Living Management Certification, Online program
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Online Dementia Care Training and Individual Certification Program
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Click on the event link to learn more about each educational offering and to register. If you have additional questions, contact Georgene Olson at 800.422.3106.

West Des Moines area hotel discounts for IHCA members.

Map to the IHCA Education Center, 1775 90th Street, West Des Moines, IA.

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