What significant changes in Medicare occurred for us in 2014?
Ask the payment expert … about quality of care and reimbursements
By
Patricia Boyer
May 01, 2014
Many states are at the forefront of pay for performance initiatives. These tie payment incentives to quality measurements and outcomes. These programs are encouraged by the Centers for Medicare & Medicaid...
Ask the payment expert … about Medicare technical requirements
By
Patricia Boyer
Apr 01, 2014
We were told we didn’t meet technical requirements for Medicare. What does that mean?
Ask the payment expert … about the financial benefits of QAPI
By
Patricia Boyer
Mar 01, 2014
What are the financial benefits to implementing CMS’s Quality Assurance Performance Improvement program?
Ask the payment expert … about the Brief Interview for Mental Status
By
Patricia Boyer
Feb 01, 2014
Is there anything we should be doing with the results of the Brief Interview for Mental Status (BIMs) and PHQ-9 that we get from the MDS?
Ask the payment expert … about MDS changes and payment
By
Patricia Boyer
Dec 01, 2013
With all the changes to the MDS on Oct. 1, 2013, how will payment be affected?
Ask the payment expert … about RAC nursing home audits
By
Patricia Boyer
Aug 01, 2013
We keep hearing about RACs in skilled nursing homes but we haven’t seen any in our state, so why should we worry about them?
Ask the payment expert … about the observation stay loophole
By
Patricia Boyer
May 01, 2013
We’ve had problems with residents being caught in the hospital “observation stay loophole.” What can we do to ensure they qualify for coverage at our facility?
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 … about inaccurate MDS therapy information
By
Patricia Boyer
Feb 01, 2013
What happens if my therapy company makes an error on the MDS and as a result, a change of therapy was missed? Are we still responsible?