A metric is a measurement of some sort of factor. For a quality metric, we are measuring quality in your facility. Companies measure performance against quality standards to determine whether they’re...
Ask the Payment Expert about… data interoperability
By
Patricia Boyer
Feb 04, 2016
he SNF Final Rule indicates that interoperability of data will be important. What do we need to do about this issue?
Ask the payment expert: How will the RAC audit process affect nursing homes?
By
Patricia Boyer
Apr 02, 2012
They already are. We were recently involved in a RAC audit appeal process. Nursing facilities should be prepared to know what a RAC review can result in.
Ask the Payment Expert about … Phase 3
By
Patricia Boyer
Jun 08, 2018
I recently attended a workshop that said that Phase 3 goes into effect this November. I thought it was November 2019. Which is right?
Ask The Payment Expert: What is the outlook for 2019 reimbursement for SNFs?
By
Patricia Boyer
Dec 05, 2018
Expect more changes that affect reimbursement in one way or the other.
Ask the payment expert about …one star
By
Patricia Boyer
Oct 25, 2018
On top of PBJ affecting the star ratings, CMS also is performing on-site and remote audits to verify data submitted. Even if you have a vendor submit your data, it cannot be stressed enough: You are ultimately...