Ask the payment expert: What does MDS item Z0400 have to do with supporting cognitive impairment for...
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Jul 01, 2021
What does MDS item Z0400 have to do with supporting cognitive impairment for PDPM?
Ask the payment expert: What has changed now that data is based on an entirely different payment model?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Jun 02, 2021
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) gathers data on billing patterns of U.S. SNFs. So, what has changed now that data is based on an entirely different payment model?
Ask the payment expert: How are reviewers determining PDPM payment accuracy from Section GG coding?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Apr 01, 2021
How are reviewers determining PDPM payment accuracy from Section GG coding?
Ask the payment expert: As recertification surveys resume, when will they start impacting the Five Star...
By
Caryn Adams
Feb 01, 2021
As recertification surveys resume, when will they start impacting the Five Star Quality rating?
Ask the payment expert: I am seeing an increase in Medicare Replacement Policy additional document requests....
By
Caryn Adams
Oct 01, 2020
I am seeing an increase in Medicare Replacement Policy additional document requests. How should we respond?
Ask the payment expert: What is the best way not to lose 2% of the Annual Payment Update?
By
Caryn Adams
May 01, 2020
Even though we are getting a temporary break from it due to pandemic relief, what is the best way not to lose 2% of the Annual Payment Update?
Ask the payment expert: What changes are coming to the 5-Star rating with the new refresh?
By
Caryn Adams
Apr 01, 2020
What changes are coming to the 5-Star rating with the new refresh?
Ask the payment expert: Any ideas on how to improve Medicaid reimbursement?
By
Caryn Adams
Feb 02, 2020
I have received questions from multiple states on how to improve Medicaid reimbursement. Any ideas?
Ask the payment expert: PDPM’s flexibility
By
Caryn Adams
Jan 05, 2020
Can you comment on the Patient Driven Payment Model’s flexibility? Facilities might reduce traditional therapy while adding group/social exercise classes and then have therapists guiding the curriculum...
Ask the payment expert: Now that PDPM is in full swing, what should be on my radar for 2020?
By
Caryn Adams
Nov 12, 2019
Now that PDPM is in full swing, what should be on my radar for 2020? There is always one more thing on the horizon. This month is the rollout of the Phase 3 requirements of the conditions of participation,...