Now that the first year of the PDPM payment system is behind us, CMS and its contractors have a lot of PDPM data to study for trends. That said, CMS Medicare auditing contractors will be looking to reject claims but under PDPM, the stakes are much higher. Under PDPM, with typically only 1 PPS assessment … Continue reading
Do you know how your community views you? Beginning in October 2020, certain Quality Reporting Programs (QRP) measures are being publicly reported on Medicare’s Nursing Home Compare site. How do you compare to your competitors in these QRP measures? Continual review, analysis and adjustment of your practices is the key to depicting the stellar services … Continue reading
Important information for Skilled Nursing Facility Admissions, Billers and Finance Departments! New Medicare Part A and Part B Deductibles and Premiums have been released for the 2021 calendar year. Effective January 1, 2021; the following rates will apply: Medicare Part A SNF Coinsurance $185.50/day (Beneficiary to pay $185.50/day after day 20 until end of … Continue reading
Posted Monday, November 2, 2020 CMS, under the direction of the Trump Administration, announced their preliminary plans to ensure that all Americans have access to the COVID-19 vaccine, when it becomes available. In preparation for seniors to have access to the vaccine, CMS has released an Interim Final Rule with comment period on October 29, … Continue reading
Written By Maureen McCarthy, RN, BS, RAC-MT, QCP-MT, DNS-MT, RAC-MTA It starts at the front door. Smart choices upon admission will yield the best results. A strong admissions department will weigh various factors upon admitting a resident, working with the clinical team to select a strong primary diagnosis. This requires a comprehensive review of documentation … Continue reading
Written By Maureen McCarthy, RN, BS, RAC-MT, QCP-MT, DNS-MT, RAC-MTA Confusion, new directives every hour, residents desperate for help, family, and hope. Your clinical awareness is sharp, on high alert, mindful of any shift in condition. Your all-consuming focus is the health of the patients in your care. In March 2020, this was the scene … Continue reading