I’m concerned with the new mega- rule expenses and that maybe I need to rethink my need for SNF beds. What are your thoughts?
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 … how to calculate cost of care
Aug 06, 2016
Our referral hospital system is asking us what our cost of care is. How do I calculate that?
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: Can we use a 3-day stay waiver more than once for same patient?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Sep 11, 2022
Q: Can the 3-Day Qualifying Hospital Stay waiver be used more than once for the same person?
Ask the payment expert about … probe and educate reviews
By
Patricia Boyer
Jan 08, 2018
Are the probe and educate reviews occurring only in home health agencies or in skilled nursing facilities as well?
Ask the payment expert … about payment reductions
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Oct 10, 2023
Q: How do I know what determines my 2% annual payment reduction? I’ve received a non-compliance letter citing MDS reporting requirements, but it doesn’t provide details.
Ask the Payment Expert about … swing bed rehab
By
Patricia Boyer
May 08, 2018
I am seeking info about rehab services in a swing bed setting. I know services need to be daily and require a skilled caregiver. Can OT or SLP alone meet the criteria without PT or nursing, if the need...