**Updated June 23, 2009- The next Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum is scheduled for Thursday, July 9, 2009 from 2-3pmET. If you wish to participate, dial 1-800-837-1935 Conference ID 16841907. Please see the Downloads section below for the full participation announcement.

**Updated June 18, 2009- Scam Alert Notice- CMS has become aware of a scam where perpetrators are sending faxes to physician offices posing as the Medicare carrier or Medicare Administrative Contractor (MAC). The fax instructs physician staff to respond to a questionnaire to provide an account information update within 48 hours in order to prevent a gap in Medicare payments. The fax may have the CMS logo and/or the contractor logo to enhance the appearance of authenticity.

Medicare FFS providers, including physicians, non-physician practitioners, should be wary of this type of request. If you receive a request for information in the manner described above, please check with your contractor before submitting any information. Medicare providers should only send information to a Medicare contractor using the address found in the download section of the CMS.gov website found at http://www.cms.hhs.gov/MLNGenInfo/ or http://www.cms.hhs.gov/MedicareProviderSupEnroll .

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Skilled Nursing Facilities/Long Term Care Open Door Forum (ODF) Overview: 

The Skilled Nursing Facilities / Long-Term Care Open Door Forum (ODF) addresses the concerns and issues of both the Medicare SNF, the Medicaid NF, and the nursing home industry generally. The types of issues that come up during this forum are often related to the Minimum Data Set, SNF Consolidated Billing, the roles and responsibilities of different SNF, NF or LTC professional staff under CMS regulations, clarifications of issues that are covered during a survey and certification process, and the many rules and requirements under which different related services can be payable. Timely announcements and clarifications regarding important rulemaking, quality program initiatives, and other related areas are also included in the forums.

Downloads
Thursday, July 9, 2009- Skilled Nursing Facilities/Long Term Care (PDF, 26KB) Friday, April 3, 2009- CHIP Webcast: "Affordable Health Care for Kids: Moving Forward Without Delay" (PDF, 24KB) Survey and Cert Letter 09-17 (PDF, 149 KB)  Carrier/FI Directory (PDF, 338KB) Spell of Illness Chart (PDF, 20KB) Quality Improvement Organization Program's 9th Scope of Work (PDF, 24KB)
Related Links Inside CMS
Skilled Nursing Facilities/Long Term Care Open Door Forum Mailing List Sign-Up CMS Skilled Nursing Facilities Center Nursing Home Quality Initiatives Medicare Contracting Reform Overview Details for Post Acute Care Payment Reform Demonstration (PAC-PRD) DRA of 2005- Money Follows the Person Grants Nursing Home Action Plan Nursing Home Value Based Purchasing Demo Limitation of Liability & Related Beneficiary Notices Consolidated Billing Annual Update Files for Carriers and FI
Related Links Outside CMS
Government Printing Office Federal Register Medicare Learning Network (MLN) Product Ordering Page Medicare Quality Improvement Community CMS Survey and Certification Group Training Website Medicare Contractor Provider Satisfaction Survey (MCPSS) Staff Time and Resource Intensity Verification (STRIVE) Nursing Home Quality Campaign MDS Training QIES Technical Support Office

Page Last Modified: 06/23/2009 4:11:34 PM
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