Ask the payment expert: How to ensure our facility is receiving optimal reimbursement under PDPM?
By
Caryn Adams
Mar 04, 2020
I am not sure our facility is receiving optimal reimbursement under Patient Drive Payment Model provisions. Where should I start?
Ask the payment expert: Any ideas on how to improve Medicaid reimbursement?
By
Caryn Adams
Feb 02, 2020
I have received questions from multiple states on how to improve Medicaid reimbursement. Any ideas?
Ask the payment expert: PDPM’s flexibility
By
Caryn Adams
Jan 05, 2020
Can you comment on the Patient Driven Payment Model’s flexibility? Facilities might reduce traditional therapy while adding group/social exercise classes and then have therapists guiding the curriculum...
Ask the payment expert: How many minutes of therapy should be provided, according to diagnosis?
By
Caryn Adams
Dec 05, 2019
How many minutes of therapy should be provided, according to diagnosis?
Ask the payment expert: Now that PDPM is in full swing, what should be on my radar for 2020?
By
Caryn Adams
Nov 12, 2019
Now that PDPM is in full swing, what should be on my radar for 2020? There is always one more thing on the horizon. This month is the rollout of the Phase 3 requirements of the conditions of participation,...
Ask the payment expert: PDPM is now underway, what should I be concerned about?
By
Caryn Adams
Oct 17, 2019
Now that PDPM is officially underway, what should I be concerned about? As our clinical team and I have completed trainings for facility staff on the Patient-Driven Payment Model, questions and concerns...
Ask the Payment Expert
By
Caryn Adams
Sep 06, 2019
What are the final things we should do to be ready for PDPM Oct. 1? With the implementation of the Patient-Driven Payment Model mere weeks away, the final countdown is on. Shore up the facility RAI...
Ask The Payment Expert
By
Caryn Adams
Aug 01, 2019
With just about six weeks until the PDPM rollout, what should be occurring at our facility? With the October 1 Patient-Drive Payment Model implementation date fast approaching, there are many tasks that...
Ask The Payment Expert
By
Caryn Adams
Jun 06, 2019
My April Five-Star rating is different from what I expected. Why? In March, the Centers for Medicare & Medicaid Services posted changes to the Five-Star calculation methods that affected ratings beginning...
Ask the Payment Expert: What should my timeline be before PDPM?
By
Caryn Adams
May 01, 2019
The Patient-Driven Payment Model will have six areas that comprise our reimbursement, and we will be able to impact five.