Effective October 13, 2022, the U.S. Department of Health and Human Services renewed the PHE determination for 90 days. This renewal means 3-Day Qualifying Stay and Benefit Period Waivers have been extended through January 12, 2023. To prepare for post-pay audits, providers should ensure supportive documentation is captured when using available SNF 1135 waivers. Celtic … Continue reading
Post-pay auditing has begun for skilled nursing facility (SNF) claims which utilized the 3-Day Stay Waiver allowed by the Centers for Medicare and Medicaid Services (CMS) in response to the public health emergency (PHE). Providers who used the waiver to cover in-house residents are most at risk for audit. Noridian, as the national Supplemental Medical … Continue reading
The Secretary of Health and Human Services, Xavier Becerra, renewed the Public Health Emergency (PHE) determination on July 15, 2022, effective through October 15, 2022. Hospital stay and benefit period waivers remain in effect. Further, Becerra recently committed to providing a 60-day notice before ending the PHE. With resources recently released [8/18/22], the Centers for … Continue reading