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? Why am I not receiving incentive payments for FY 2019?
By
Patricia Boyer
Nov 02, 2018
Why am I not receiving incentive payments for FY 2019 SNF Quality Reporting Program (QRP) and Value-Based Purchasing (VBP) are separate, but related, programs. QRP is required by the IMPACT ACT to collect...
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 about … acuity-based staffing
By
Patricia Boyer
Jan 06, 2017
What is acuity-based staffing and how do we know what our acuity is?
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: What should we do about our therapy services to fully capitalize on MDS 3.0 and...