Q: We’ve been trying to fill an open MDS position and have an LPN applicant who would be great in the role. Can an LPN fulfill requirements and sign assessments?
Ask the payment expert … can we dispute a deficiency?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Jan 25, 2023
CMS imposed a CMP for a deficiency that we do not agree with. Is there any recourse?
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?
Ask the payment expert: I am seeing an increase in Medicare Replacement Policy additional document requests....
By
Caryn Adams
Oct 01, 2020
I am seeing an increase in Medicare Replacement Policy additional document requests. How should we respond?
Ask the payment expert: Was the 60-day break in stay covered in the blank waiver?
By
Caryn Adams
Jul 06, 2020
I was denied payment for a Medicare resident who did not have a 60-day break in stay. Wasn’t this covered in the blanket waiver?
Ask the payment expert: What changes are coming to the 5-Star rating with the new refresh?
By
Caryn Adams
Apr 01, 2020
What changes are coming to the 5-Star rating with the new refresh?
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: Any ideas on how to improve Medicaid reimbursement?
By
Caryn Adams
Feb 02, 2020
I have received questions from multiple states on how to improve Medicaid reimbursement. Any ideas?
Ask The Payment Expert
By
Caryn Adams
Jun 06, 2019
My April Five-Star rating is different from what I expected. Why? In March, the Centers for Medicare & Medicaid Services posted changes to the Five-Star calculation methods that affected ratings beginning...
Ask The Payment Expert: Why is ICD-10 a hot topic?
By
Caryn Adams
Mar 07, 2019
ICD-10 coding should be high-priority on everyone’s list this year as we await the rollout of the Patient-Driven Payment Model. I do not think it can be stressed enough that diagnoses are driving reimbursement.