Ask the payment expert … about Medicare audit guidelines
By
Patricia Boyer
Aug 01, 2014
What guidelines should we use for a Medicare audit?
Ask the payment expert: How well are the new MDS rules working?
By
Patricia Boyer
Oct 01, 2012
Now that we are a few months after the April MDS assessment changes, how are rules working for facilities?
Ask the payment expert about …one star
By
Patricia Boyer
Oct 25, 2018
On top of PBJ affecting the star ratings, CMS also is performing on-site and remote audits to verify data submitted. Even if you have a vendor submit your data, it cannot be stressed enough: You are ultimately...
Ask the payment expert … about monitoring therapy services
By
Patricia Boyer
Jul 01, 2013
Q: What should an administrator do to monitor therapy services in his or her facility?
A: The main fact to remember is that you are responsible for what happens in your therapy department, even if you...
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 … facility assessments
By
Patricia Boyer
Nov 06, 2017
Can you tell me more about the Facility Assessment that will be implemented in Phase 2 of the Rules of Participation?
Ask the Payment Expert about … expedited review
By
Patricia Boyer
Sep 04, 2015
The expedited review process was developed so a resident could quickly appeal the process if he or she disagreed when a facility decided that a resident is no longer covered under skilled services.
Ask the Payment Expert about … the new Payroll-Based Journal system
By
Patricia Boyer
Jun 06, 2016
Can you explain the new Payroll-Based Journal system?
Ask the payment expert: Why do we have so many A’s in our ADL coding?
By
Patricia Boyer
Jan 02, 2013
The new RUGs-IV scoring methodology has a strong tendency to score your ADLs lower.
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?