Medicare audits ‘ramping up’ with isolation coding in the crosshairs
By
Josh Henreckson
Apr 22, 2024
Auditors are paying special attention to isolation and quarantine coding amid already heightened Medicare nursing home audits that are expected to increase in coming months, experts warn.
The coming cicada invasion. Can the MDS compete?
By
Joel VanEaton
Feb 20, 2024
I am constantly reminded how the complexities of nature astound me. Recently, I became aware of the impending cicada invasion that will happen this year in various regions of the United States. According...
Just the medicine for a suspect CMS pay rule
By
James M. Berklan
Apr 05, 2024
Forget the debate over alternative vs. traditional fuels. The smart leader is going to find out what powers Leah Klusch and pay to corner the market on that.
CMS makes 60 changes to finalize new MDS playbook
By
James M. Berklan
Aug 25, 2023
The Centers for Medicare & Medicaid Services released the final version of the new Resident Assessment Instrument manual Thursday .
New year, new MDS, new resolve
By
Joel VanEaton
Jan 24, 2023
Where did 2022 go? And, hang on for the wild ride 2023 will be. So much lies ahead of us and we need to be prepared, starting with the MDS.
Trick or treat? MDS changes are in the bag
By
Joel VanEaton
Oct 03, 2023
When I was a kid, I loved getting dressed up for Halloween. I remember especially a clown (funny not scary) costume I got one year. I couldn’t wait to put it on and be transformed into another world....
Fasten your seatbelts: It MIGHT be a bumpy ride
By
Steven Littlehale
Oct 13, 2023
It’s been a flurry of activity leading up to the implementation of the “new MDS.” For months our industry has been doing what we do best — rising to the occasion. Countless MDS training sessions,...
Ask the payment expert … about MDS payment implications
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Sep 12, 2023
Q: Are changes to the Patient Driven Payment Model expected with the revised MDS in October?
Operational, fiscal and clinical alert: Time to brush up MDS procedures for big changes at hand
Nov 14, 2022
It’s time for providers to start shoring up processes to successfully implement big changes to the Minimum Data Set assessment form that will soon be in play. Failure to get ready — starting this month,...
Ask the payment expert … about payment reductions
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Oct 10, 2023
Q: How do I know what determines my 2% annual payment reduction? I’ve received a non-compliance letter citing MDS reporting requirements, but it doesn’t provide details.