It seems like Medicare always has so much information about us. How can we access that data?
Ask the payment expert
By
Patricia Boyer
Dec 01, 2007
We always seem to be training our staff in how to complete the MDS. Will they ever learn everything they need to about that process?
Ask the payment expert: How do I know if I need to complete a Change of Therapy OMRA?
By
Patricia Boyer
Feb 01, 2012
The Change of Therapy (COT) OMRA means that each therapy resident is always in a “look back” period. When an assessment is completed, either a scheduled assessment or an EOT-R assessment, it...
Ask the payment expert … about MDS staffing
By
Patricia Boyer
Sep 01, 2013
We recently lost our MDS nurse and didn’t know what to do, as no one else knew how to do MDSs. What should we do differently now?
Ask the payment expert: Now that PDPM is in full swing, what should be on my radar for 2020?
By
Caryn Adams
Nov 12, 2019
Now that PDPM is in full swing, what should be on my radar for 2020? There is always one more thing on the horizon. This month is the rollout of the Phase 3 requirements of the conditions of participation,...
Ask the payment expert … about quality and reimbursement correlations
By
Patricia Boyer
Jun 01, 2013
How can the Centers for Medicare & Medicaid Services correlate quality of care and reimbursement?
You always need to remember that Medicare is an insurance plan. As such, Medicare has rules, just like...
Ask the payment expert: Is ‘look back’ documentation still required
Ask the payment expert: Why was a payment denial not covered by one of the current waivers?
By
Caryn Adams
Mar 01, 2021
I received a denial for a resident who was at another facility, transferred to the hospital and subsequently admitted to our facility. Shouldn’t this have been covered by one of the current waivers?
Ask the payment expert…Should we add more MDS staff to meet new regulations?
I understand that many facilities are being cited during state surveys for not following standards of clinical practice. That citation is frequently cross-referenced to the assessment process. What can...