Vol. 22, Issue 2, February 27, 2020
Feb 21, 2020
Billing Alert for Long-Term Care

If every “i” is not dotted and every “t” not crossed when submitting a claim, an overpayment may result, even if services rendered to the patient were medically necessary. The appeals process is designed to give providers a chance to explain their case. It’s also a mechanism to make sure the audit was conducted properly. The following tips may not help you win every appeal, but they certainly won’t hurt your case.

Feb 07, 2020
Billing Alert for Long-Term Care

A truly successful SNF optimizes quality outcomes and reimbursement for their Medicare Part A patients. The Patient-Driven Payment Model (PDPM) supports this concept by shifting the focus from quantity of services to drive payments to basing payments on resident characteristics and quality outcomes. Outcomes are person centered, and SNFs can utilize several programs to provide that person-centered care.

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2019 Revenue Integrity Symposium

The 2020 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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