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: 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?
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
Nov 01, 2021
While reviewing the FY 2022 SNF PPS final rule, I noticed there are currently 13 Quality Measures adopted for FY 2022 SNF QRP, including Transfer of Health Information to the Provider and Patient.
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?