Ask the payment expert… about the SNF 5-Claim Probe and Educate Reviews
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Apr 12, 2024
In an attempt to lower the skilled nursing facility improper payment rate, CMS implemented the SNF 5-Claim Probe and Educate Review, wherein the Medicare Administrative Contractors (MACs) conduct reviews...
Ask the payment expert: Coping with RUG payment reductions, Part II
Are the timeframes for investigating and repaying Medicare overpayments changing?
Ask The Payment Expert
By
Caryn Adams
Aug 01, 2019
With just about six weeks until the PDPM rollout, what should be occurring at our facility? With the October 1 Patient-Drive Payment Model implementation date fast approaching, there are many tasks that...
Ask the Payment Expert about … SNF Value Based Purchasing Program
By
Patricia Boyer
Dec 06, 2016
How does the new Skilled Nursing Facility Value Based Program relate to our Medicare payments?
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?