October 18, 2016
News & Insights

Is it appropriate for a critical access hospital hospital to bill with Type of Bill (TOB) 013X versus TOB 085X, or are they only to bill with 085X?

August 10, 2016
Medicare Insider

This week’s Medicare updates include an update to inpatient psychiatric facilities PPS (IPF PPS) FY 2017; a Comprehensive Primary Care Plus (CPC+) region announcement; and more!

July 19, 2016
News & Insights

Can a hospital that is not a critical access hospital bill professional charges on UB-04 claims, Type of Bill 013X?

July 8, 2016
News & Insights

My understanding is that under the 2-midnight rule CAHs cannot go past two midnights of observation care if the patient has Medicare as a payer. Is that correct?

July 12, 2016
News & Insights

My understanding is that under the 2-midnight rule CAHs cannot go past two midnights of observation care if the patient has Medicare as a payer. Is that correct?

June 22, 2016
Medicare Insider

This week’s updates include new physician specialty code for dentist; medical review of SNF PPS bills; and more!

May 6, 2016
News & Insights

Q. What are the requirements for critical access hospitals in relation to the latest proposed Conditions of Participation for discharge planning?

March 17, 2016
News & Insights

The Social Security Act allows CAHs and other small rural hospitals to enter into “swing bed” agreements with CMS. Under these arrangements, in addition to providing acute inpatient services, such hospitals are permitted to provide extended care services that would normally be furnished in a skilled nursing facility (SNF). When provided under a swing bed arrangement, SNF extended care services are referred to as “swing bed” services. In a swing bed hospital, an inpatient bed may actually swing from one level of care to another (e.g., acute to swing or swing to acute), depending upon a particular patient’s need.

March 16, 2016
Medicare Insider

This week’s note is about certification requirements for swing beds in critical access hospitals.

February 23, 2016
Medicare Insider

This week’s updates include Critical Access Hospital (CAH) Recertification Checklist for evaluation of compliance with the location and distance requirements; core quality measures collaborative release; and more!

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