Our reimbursement specialist says we’ve missed several opportunities to code IV fluids given at the hospital on the 5-day PPS assessment. How is this information reported and supported?
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: 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 …. about the total nurse staffing measure
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Nov 11, 2022
Q: What is the Skilled Nursing Facility Value-Based Payment Total Nurse Staffing Measure?
Ask the payment expert … about incomplete measures
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Mar 04, 2024
I reviewed the Q4 2023 Facility Level Quality Measure report for my facility and noticed several measures are displayed as “I” for incomplete. Can you explain why?
Ask the payment expert
Nov 01, 2021
While reviewing the FY 2022 SNF PPS final rule, I noticed there are currently 13 Quality Measures adopted for FY 2022 SNF QRP, including Transfer of Health Information to the Provider and Patient.
Ask The Payment Expert: Ensuring you receive incentive pay for FY 2019
By
Caryn Adams
Jan 04, 2019
Q: I did not receive an incentive payment for FY 2018 through the Skilled Nursing Facility Value Based Purchasing program. How can I ensure I receive incentives for FY 2019?
Ask the payment expert: What is the best way not to lose 2% of the Annual Payment Update?
By
Caryn Adams
May 01, 2020
Even though we are getting a temporary break from it due to pandemic relief, what is the best way not to lose 2% of the Annual Payment Update?
Ask The Payment Expert: What is the outlook for 2019 reimbursement for SNFs?
By
Patricia Boyer
Dec 05, 2018
Expect more changes that affect reimbursement in one way or the other.