Ask the payment expert … about matching diagnoses codes
By
Patricia Boyer
Apr 01, 2013
How important is it that diagnoses coded in Section I of the MDS match what is being billed on the UB-04?
Ask the payment expert … about inaccurate MDS therapy information
By
Patricia Boyer
Feb 01, 2013
What happens if my therapy company makes an error on the MDS and as a result, a change of therapy was missed? Are we still responsible?
Ask the payment expert: Why do we have so many A’s in our ADL coding?
By
Patricia Boyer
Jan 02, 2013
The new RUGs-IV scoring methodology has a strong tendency to score your ADLs lower.
Ask the payment expert: How can I make sure that my Medicare claims are correct?
By
Patricia Boyer
Dec 02, 2012
I recommend every facility that gets reimbursement from Medicare complete a Medicare audit annually. You want to look at yourself the same way the government does.
Ask the payment expert: Why should I be concerned about hospitals being penalized for rehospitalizations?
By
Patricia Boyer
Nov 01, 2012
Rehospitalization is another way that the Centers for Medicare & Medicaid Services is looking to cut Medicare costs.
Ask the payment expert: How well are the new MDS rules working?
By
Patricia Boyer
Oct 01, 2012
Now that we are a few months after the April MDS assessment changes, how are rules working for facilities?
Ask the Payment Expert: Are staffing adjustments necessary to deal with MDS changes?
By
Patricia Boyer
Sep 01, 2012
I believe the most effective way to meet resident needs is for nurse managers to be involved in all OBRA assessments because those are the assessments that “drive” care.
Ask the payment expert: What’s the best way to maximize Medicaid and Medicare reimbursement?
By
Patricia Boyer
Aug 01, 2012
It depends on which state you are in as to which Medicaid reimbursement program you are managed under.
For the RUGs III Medicaid reimbursed states, you need to remember your RUGs III grouper and what qualifies...
Ask the payment expert: How will our new e-charting system influence our reimbursement?
By
Patricia Boyer
Jul 05, 2012
We are getting a new electronic charting system. Is there anything we should be aware of with the change?
What’s the best way to prevent Immediate Jeopardy citations?
By
Patricia Boyer
May 01, 2012
We’ve been assisting facilities in several states with Immediate Jeopardy (IJ) resolutions. One of the big changes we are seeing is that when an IJ situation is cited, multiple tags are affected...