LeadingAge reminder that effective January 1, 2023, the Centers for Medicare & Medicaid (CMS) published the calendar year (CY) 2024 physician fee schedule (PFS) final rule and revised the definition of managing employees that now need to be reported. It now includes hospice or skilled nursing facility (SNF) administrator and a hospice or SNF medical director. This individual is employed either under contract or through some other arrangement, whether or not the individual is a W-2 employee. The first reporting period ends March 31, 2024. Updates are ongoing and due within 90 days of a new administrator or medical director. Updates must be made in PECOS or on the 855A form.
Steps to follow for 855A:
- Section 6: OWNERSHIP INTEREST AND/OR MANAGING CONTROL INFORMATION (INDIVIDUAL)
- Check the “Change” box
- Add the individual’s details
- On page 37 check either theW-2 or Contracted Managing Employee
- Complete the section on Final Adverse Legal Action
- Submit to your MAC via mail
Steps for PECOS:
- Log in and select the “my Enrollments” button
- Select “view Enrollment” for the Organization that requires a managing employee update
- Under “existing Enrollments” identify the currently approved enrollment and select “more Options” to make changes
- Select “perform a Change in Information to Current Enrollment Information”
- Follow the questionnaire prompts and when you arrive at the enrollment review page select “Start Application”
- Use the “Topic View” button and select “induvial Control” from the list of topic areas
- Here you can add information about a new managing employee or delete an existing employee.
Note: If you need to review if an Administrator or Medical Director is currently listed as a managing employee, you can do that by selecting “view” instead of “More Options”.
LeadingAge members can find more information on the LeadingAge Learning Hub.
