Ask the payment expert … about appealing Medicare repayments
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Nov 07, 2023
Q: My facility is going through a Medicare UPIC review and received several denials followed by a demand letter requiring repayment. What are options for appealing and paying?
Ask the payment expert: How to ensure our facility is receiving optimal reimbursement under PDPM?
By
Caryn Adams
Mar 04, 2020
I am not sure our facility is receiving optimal reimbursement under Patient Drive Payment Model provisions. Where should I start?
Ask the payment expert … about quality of care and reimbursements
By
Patricia Boyer
May 01, 2014
Many states are at the forefront of pay for performance initiatives. These tie payment incentives to quality measurements and outcomes. These programs are encouraged by the Centers for Medicare & Medicaid...
Ask the payment expert … about continuing RAC requests
By
Patricia Boyer
Jul 01, 2014
I thought the Recovery Audit Contractors (RACs) were on hold. Why did we still get a request for records?
Ask the payment expert
Jun 01, 2008
Is a clarification order needed for therapy services if we have an eval and treat order?
Ask the payment expert: As recertification surveys resume, when will they start impacting the Five Star...
By
Caryn Adams
Feb 01, 2021
As recertification surveys resume, when will they start impacting the Five Star Quality rating?