Are you effectively managing your managed care billing?
By
Kristy Brown
Jul 12, 2024
With the announcement of the nursing home minimum staffing rule, I asked myself the same question as operators nationwide: how on earth are we going to pay for this? Even if nursing homes could find...
Billing system overhauled at Optimus EMR
Jun 19, 2013
Optimus EMR Inc. announced the launch of its new Optimus Billing and Financial System (OBFS) last week.
The OBFS is fully integrated with the company’s EMR clinical system, sharing one point of entry...
Why are more RAC audits happening? There are trillions of reasons
By
John O'Connor
Sep 10, 2012
Recovery audit contractors are stepping up their efforts to review Medicare billings. This appears to be a classic case of auditors gone wild.
Report: Nursing home therapy reimbursement under review as reform law toughens up
Mar 30, 2010
Healthcare analysts at the Department of Health and Human Services are re-evaluating Medicare’s “ultra-high” billing category for therapy services in skilled nursing facilities as a potential...
Couple to plead in Presbyterian Manors $1.5 million mail fraud case
By
John Hall
May 08, 2015
A former Kansas couple facing up to 20 years in federal prison and $1 million in fines are expected to plead guilty to at least some of the charges alleging they submitted fraudulent invoices to his former...
Providers should prepare to face even more audits under healthcare reform, expert warns
By
McKnight's Staff
Sep 27, 2012
Providers need to have the appropriate staff and data analytics programs in place to defend against the onslaught of more Medicare and Medicaid claims audits, an expert urged.
Top 5 ICD-10 changes for 2014
By
Shelly Mesure, MS, OTR/L
Jan 30, 2014
Have you started your countdown clocks yet? It looks like it’s definitely happening this year on Oct. 1, 2014. The transitions from ICD-9 to ICD-10 coding will 100% absolutely take effect for the...
Diagnotes Inc. and Advanced Healthcare Associates team up
Jul 15, 2014
Diagnotes Inc. and Advanced Healthcare Associates have announced an expanded partnership that will place the Diagnotes mobile and web-based clinical communication system.
Expert says providers often wrongly threatened by PEPPER reports
By
James M. Berklan
Oct 21, 2014
Instead of fearing further scrutiny by federal authorities, providers should embrace the opportunity to get feedback in the form of PEPPER reports, legal experts said Monday at the LeadingAge annual meeting...
Point-of-service: Friend or foe?
By
Shelly Mesure, MS, OTR/L
Feb 22, 2012
As a manager, I used to love to promote point-of-service, or POS. As a therapist, I used to despise POS. How could I have such a love-hate relationship with POS?