Jul 01, 2019
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AMBR Journal

The Patient-Driven Payment Model (PDPM) will bring countless changes to how the MDS coordinators support the facility’s revenue cycle. In PDPM, the patient’s acuity, rather than therapy utilization, drives reimbursement. For the first time, reimbursement is directly tied to the patient’s medical conditions. As such, the role of the MDS coordinator will evolve to facilitate the capture of all of the patient’s clinical conditions on the MDS that will be critical to attaining accurate and optimal reimbursement.

Jul 01, 2019
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AMBR Journal

In nearly all provider segments of health care, revenue maximization and integrity are directly tied to compliance and quality ratings. Beginning October 1, 2019, skilled nursing facilities (SNF) that failed to meet the 80% threshold reporting requirement on quality measures (QM) will experience a 2% payment reduction. The cut-off date to meet the compliance level for the quality reporting period October 1, 2018 to December 31, 2018 was May 15, 2019.

Apr 01, 2019
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AMBR Journal

Last month, as we were nearing the end stages of re-launching the association with its new name, Association for Medicare Billing and Reimbursement (AMBR) for Long-Term Care, we revisited the initial community outreach that our predecessors completed back in 2015. While we’ve come so far as an association and have witnessed and been a part of its progress, we wanted to make sure we were sticking with its roots and original purpose as we seek to join a more diverse group of professionals and expand our member benefits.

Apr 01, 2019
 | 
AMBR Journal

 In our first issue of AMBR journal, we’d like to introduce you to one of the association’s board members: Maureen McCarthy, RN, BS RACMT, QCP-MT, DNS-MT, President/CEO of Celtic Consulting. AMBR’s Director of Content Brianna Shipley asked McCarthy to share how she got involved in long-term care billing, what being a successful career woman means to her, and what others who are interested in professional development should be doing to ensure they continue to grow in their field. Here’s what she had to say.

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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