Most recent articles by Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Ask the payment expert … about VBP incentive pay
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
May 03, 2023
How should we manage SNF value-based purchasing measures to receive incentive payments?
Ask the payment expert … about overpayments
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Apr 10, 2023
Are the timeframes for investigating and repaying Medicare overpayments changing?
Ask the payment expert about … consequences of MDS dashes
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Mar 12, 2023
Q: What are the concerns or consequences of dashing items on the MDS?
Ask the payment expert … can we dispute a deficiency?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Jan 25, 2023
CMS imposed a CMP for a deficiency that we do not agree with. Is there any recourse?
Ask the payment expert … about pending removal of Section G
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Dec 05, 2022
What is the impact of Section G being removed from the MDS?
Ask the payment expert …. about the total nurse staffing measure
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Nov 11, 2022
Q: What is the Skilled Nursing Facility Value-Based Payment Total Nurse Staffing Measure?
Ask the payment expert: Can we use a 3-day stay waiver more than once for same patient?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Sep 11, 2022
Q: Can the 3-Day Qualifying Hospital Stay waiver be used more than once for the same person?
Ask the payment expert: How can we avoid denials?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Jul 01, 2022
Q: Are denials related to Physician’s Certifications common, and how can we avoid them?
Ask the payment expert: What can we do to maintain CMI and Medicare reimbursement?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
May 01, 2022
Due to staffing shortages, we’ve had to pull our MDS nurses to provide direct care, and assessments are getting behind. What can we do to maintain CMI and Medicare reimbursement?
Ask the payment expert: How should we appropriately query the physician to support diagnosis coding...
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Apr 01, 2022
Q: How should we appropriately query the physician to support diagnosis coding for PDPM reimbursement?