Ask the payment expert … about the Brief Interview for Mental Status
By
Patricia Boyer
Feb 01, 2014
Is there anything we should be doing with the results of the Brief Interview for Mental Status (BIMs) and PHQ-9 that we get from the MDS?
Ask the payment expert … about changes related to Jimmo v. Sebelius
By
Patricia Boyer
Jan 01, 2014
How come there are so many Medicare A denials when Jimmo v. Sebelius stated we could keep residents on Medicare A even if they are not improving?
Ask the payment expert … about MDS changes and payment
By
Patricia Boyer
Dec 01, 2013
With all the changes to the MDS on Oct. 1, 2013, how will payment be affected?
Ask the payment expert … about PEPPER reports
By
Patricia Boyer
Nov 01, 2013
What can you tell us about PEPPER reports?
Ask the payment expert … about clinical qualifiers
By
Patricia Boyer
Oct 01, 2013
Most of our residents are covered under rehab services, so why do we need to worry about capturing clinical qualifiers?
Ask the payment expert … about MDS staffing
By
Patricia Boyer
Sep 01, 2013
We recently lost our MDS nurse and didn’t know what to do, as no one else knew how to do MDSs. What should we do differently now?
Ask the payment expert … about RAC nursing home audits
By
Patricia Boyer
Aug 01, 2013
We keep hearing about RACs in skilled nursing homes but we haven’t seen any in our state, so why should we worry about them?
Ask the payment expert … about monitoring therapy services
By
Patricia Boyer
Jul 01, 2013
Q: What should an administrator do to monitor therapy services in his or her facility?
A: The main fact to remember is that you are responsible for what happens in your therapy department, even if you...
Ask the payment expert … about quality and reimbursement correlations
By
Patricia Boyer
Jun 01, 2013
How can the Centers for Medicare & Medicaid Services correlate quality of care and reimbursement?
You always need to remember that Medicare is an insurance plan. As such, Medicare has rules, just like...
Ask the payment expert … about the observation stay loophole
By
Patricia Boyer
May 01, 2013
We’ve had problems with residents being caught in the hospital “observation stay loophole.” What can we do to ensure they qualify for coverage at our facility?