Most recent articles by Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Ask the payment expert: Is there a penalty if a SNF resident receives more than 25% of his or her therapy...
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Mar 01, 2022
Is there a penalty if a SNF resident receives more than 25% of his or her therapy in a concurrent or group setting?
Ask the payment expert
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Dec 01, 2021
What can we expect with targeted probe-and-educate programs resuming?
Ask the payment expert: What can we do to ensure we’re being reimbursed accurately?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Oct 01, 2021
We’re seeing some Medicare Advantage plans change to payment by “levels.” What can we do to ensure we’re being reimbursed accurately?
Ask the payment expert: Can you explain the Interrupted Stay and how it impacts Medicare billing?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Sep 01, 2021
Can you explain the Interrupted Stay and how it impacts Medicare billing?
Ask the payment expert: What does MDS item Z0400 have to do with supporting cognitive impairment for...
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Jul 01, 2021
What does MDS item Z0400 have to do with supporting cognitive impairment for PDPM?
Ask the payment expert: What has changed now that data is based on an entirely different payment model?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Jun 02, 2021
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) gathers data on billing patterns of U.S. SNFs. So, what has changed now that data is based on an entirely different payment model?
Ask the payment expert: What should we be documenting when an individual admits under waiver without...
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
May 01, 2021
What should we be documenting when an individual admits under waiver without a three-day qualifying hospital stay?
Ask the payment expert: How are reviewers determining PDPM payment accuracy from Section GG coding?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Apr 01, 2021
How are reviewers determining PDPM payment accuracy from Section GG coding?