Providers must be compliant with new nursing home payment rules or face rejection of claims, expert says
Oct 06, 2011
Nursing home administrators must be absolutely certain their billing department staff and MDS coordinators are up to speed on the newly implemented PPS rules for therapy, MDS expert Leah Klusch said Wednesday...
MDS 3.0 webcast: The first week with changes … what do we do now?
Oct 06, 2011
Nursing home administrators must be absolutely certain their billing department staff and MDS coordinators are up to speed on the newly implemented PPS rules for therapy. That is one of the central messages...
Nursing homes must be on top of MDS changes, expert says
Sep 14, 2011
Nursing home operators need to make sure their MDS coordinators are paying close attention to the changes to the prospective payment system, an expert said yesterday during the last 2011 McKnight’s...
Ask the payment expert … about RACs
Apr 06, 2015
I thought the Recovery Audit Contractors were on hold, so why did I receive a request from our RAC for a Medicare Advantage resident?
CMS says repeal of RUG-IV delay still possible, to relax MDS transmission rules
Oct 29, 2010
Federal regulators said Thursday they are hoping that Congress will act by the end of the year to keep in place full-time what is now being called a provisional RUG-IV nursing home Medicare payment system....
CMS corrects therapy coding examples in RAI Manual
By
Tim Mullaney
Nov 07, 2013
The Centers for Medicare & Medicaid Services has corrected some therapy coding information in the recently released Minimum Data Set 3.0 Resident Assessment Instrument manual.
Colliding factors threaten to ‘muddy’ state Medicaid reimbursement
By
Kimberly Marselas
Oct 04, 2023
Several converging factors could make the next few years especially complicated for state Medicaid systems, with the potential for new cost-setting strategies to affect providers from coast-to-coast.
Days-old MDS creating chaos for some providers
By
James M. Berklan
Oct 04, 2023
Just two days into a new era in nursing home patient assessments, providers were reporting widespread struggles with an updated MDS system, observers said Tuesday.
CMS to redo nursing home validation reports due to MDS 3.0 system glitch
Oct 19, 2010
The Centers for Medicare & Medicaid Services will have to reprocess validation reports for an estimated more than 100,000 records from nursing homes as a result of a glitch in the new MDS 3.0 system, Sheila...
Are you setting yourself up for success?
By
Shelly Mesure, MS, OTR/L
Mar 26, 2012
Are you properly capturing set-up time? What on Earth am I talking about? I’m talking about utilizing the regulation as outlined in the Resident Assessment Instrument, version MDS 3.0.