Ask the payment expert: How are reviewers determining PDPM payment accuracy from Section GG coding?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Apr 01, 2021
How are reviewers determining PDPM payment accuracy from Section GG coding?
Ask the payment expert: How should we appropriately query the physician to support diagnosis coding...
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Apr 01, 2022
Q: How should we appropriately query the physician to support diagnosis coding for PDPM reimbursement?
Ask the payment expert: Is there a penalty if a SNF resident receives more than 25% of his or her therapy...
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Mar 01, 2022
Is there a penalty if a SNF resident receives more than 25% of his or her therapy in a concurrent or group setting?
Ask the payment expert: What does MDS item Z0400 have to do with supporting cognitive impairment for...
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Jul 01, 2021
What does MDS item Z0400 have to do with supporting cognitive impairment for PDPM?
Ask the payment expert: What can we do to ensure we’re being reimbursed accurately?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Oct 01, 2021
We’re seeing some Medicare Advantage plans change to payment by “levels.” What can we do to ensure we’re being reimbursed accurately?
Ask the payment expert: What has changed now that data is based on an entirely different payment model?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Jun 02, 2021
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) gathers data on billing patterns of U.S. SNFs. So, what has changed now that data is based on an entirely different payment model?