Ask the payment expert about … consequences of MDS dashes
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Mar 12, 2023
Q: What are the concerns or consequences of dashing items on the MDS?
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: 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
By
Caryn Adams
Sep 06, 2019
What are the final things we should do to be ready for PDPM Oct. 1? With the implementation of the Patient-Driven Payment Model mere weeks away, the final countdown is on. Shore up the facility RAI...
Ask the Payment Expert about … new and old survey processes
By
Patricia Boyer
Feb 08, 2018
With the new survey process, does that mean other survey types have gone away?
Ask the Payment Expert about … Medicare data
By
Patricia Boyer
Sep 05, 2016
It seems like Medicare always has so much information about us. How can we access that data?
Ask the payment expert … about supporting MDS completion
By
Patricia Boyer
Oct 01, 2014
What is the best nursing structure to support the MDS process?
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 … 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: How well are the new MDS rules working?
By
Patricia Boyer
Oct 01, 2012
Now that we are a few months after the April MDS assessment changes, how are rules working for facilities?