Vol. 18, Issue 1, January 31, 2016
Jan 13, 2017
Billing Alert for Long-Term Care

Electronic health records (EHR) have slowly made their way into long-term care (LTC), with almost all facilities now using some form of electronic system to complete the MDS. There are several benefits to “going electronic,” a phrase that beats to the same tune as “going green.” Along with aiming to be more environmentally friendly, the benefits of using EHRs include:

  • Lowering the chances of medical errors, eliminating duplicate tests, and possibly improving overall quality of care*
  • Consistent information; Providers have the same up-to-date information about conditions, treatments, tests, and prescriptions*
  • Access to analytics, making it easier to see, track, and correct trends
  • The ability to roll up data for facility audits
  • Creating efficient data-mining tools
Jan 06, 2017
Billing Alert for Long-Term Care

In the months leading to the New Year, much was left to be desired for long-term healthcare providers: Namely, answers. Beginning with anticipation over how CMS’ revision overhaul of Conditions of Participation (CoP) for Medicare will play out during Phase 1 (and 2, and 3) of the new survey process, and ending with scattered talk among the Trump administration of “repeal and replace” of ACA, providers have been anticipating the last straw.

Jan 29, 2016
Billing Alert for Long-Term Care

The interplay of Medicare billing and fraud seems like a perennial hot spot among SNFs. When an internal audit reveals potentially fraudulent discrepancies between care rendered and services billed on Medicare claims, determining the next steps can be tricky. Correcting faulty practices that led to the lapse is a given, but are broader legal actions necessary? 

Jan 15, 2016
Billing Alert for Long-Term Care

Admissions department and billing office staff know the importance of verifying benefits for prospective residents. By establishing a procedure to evaluate a beneficiary’s payer source prior to admission, SNFs can reduce possible claims adjudication issues and facilitate the receipt of payments in a timely manner. 

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