Aug 16, 2019
 | 
The Bottom Line

A new billing structure will be implemented with PDPM on October 1, 2019. To prepare for this change, all staff involved in the billing and reimbursement process, from MDS coordinators to business office staff, should understand how the new payment methodology will impact revenue.

During this 60-minute webinar, Maureen McCarthy, BS, RN, RAC-MT, QCP-MT, DNS-MT, RAC-MTA, will explain the basics of the PDPM structure and how reimbursement will be calculated differently under a system driven by patient characteristics, rather than therapy minutes. Attendees will learn the effect PDPM will have on a facility’s revenue, MDS documentation’s new role in producing a clean claim, and how to ensure accurate reimbursement by including appropriate adjustment factors for certain components.

View the webinar and download materials as part of your membership benefit.

Aug 16, 2019
 | 
Billing Alert for Long-Term Care

With the October 1, 2019 go-live date for the Patient Driven Payment Model (PDPM) just months away, providers are anxious to learn of any updates or clarifications CMS will make prior to the new model taking effect. As such, many providers were relieved when CMS released the mid-year draft of the MDS 3.0 Resident Assessment Instrument (RAI) Manual v1.17 on May 20.

Aug 16, 2019
 | 
The Bottom Line

A class-action lawsuit filed by 14 SNF residents in 2011 challenging the Medicare three-day rule saw its first day in court on August 12. The lawsuit addresses the rule requiring residents to be admitted to an acute-care hospital for a minimum of three days prior to entering a SNF to receive Medicare coverage. The residents were unable to use their Medicare benefit because they had been under observation in the hospital, rather than admitted.

Aug 16, 2019
 | 
The Bottom Line

With a new long-term care track AND a discount with AMBR membersship, the Revenue Integrity Symposium is the can’t-miss event for revenue integrity, revenue cycle, and Medicare compliance education and high-level networking for acute and long-term care professionals. Learn from trusted experts with cutting-edge regulatory insight that will arm you with the tools you need to take 2020 by storm. By popular demand, this year’s event kicks off with a motivational keynote session and introduces a track focused on professional development to help you navigate your career and ensure your team is positioned for success.

ADD to your discount with early bird pricing! Quick, ends tomorrow.

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Featured Event

Tuesday, October 15, 2019 - 07:00

2019 Revenue Integrity Symposium

The 2019 Revenue Integrity Symposium covers topics essential to revenue integrity, Medicare compliance, and the revenue cycle in acute care and long-term care settings.

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jfitzgerald@hcpro.com
Karen A. Thomas
Victorine Courtois