CMS finalized payment rates for Medicare Advantage plans increasing them by 0.45% on average for 2018, in its final rate notice Monday. That’s an increase from the 0.25% rate increase proposed in February. After adjusting for beneficiaries risk scores the average Medicare Advantage payment rate will increase by 2.95%, up from February’s estimate of 2.75%.…
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Dual Eligible Special Needs Plans (D-SNPs) enroll beneficiaries who are entitled to both Medicare (Title XVIII) and Medical Assistance from a State Plan under Title XIX (Medicaid), and offer the opportunity of enhanced benefits by combining those available through Medicare and Medicaid. D-SNP eligibles can Join during an enrollment period or Special Enrollment Period (SEP).…
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The distinction between inpatient and “under observation” is crucial for those covered by Medicare. Under Medicare nursing facility rehab services are covered only if the patient receives hospital care as an inpatient for three consecutive days. As of March 8, 2017 a new law goes into effect that requires hospitals to tell people orally and…
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