May 08, 2020
 | 
The Bottom Line

With us today is Reta Underwood. Reta is a Medicare Specialist and president of CLTC, a national long-term care consulting firm based in Kentucky. Today, we’ll be talking about revenue cycle disruption in SNFs due to the pandemic.

We talk about CMS’ COVID-19  FAQ doc – download it now.

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May 01, 2020
 | 
The Bottom Line

CMS is excepting certain requirements to enable freestanding inpatient rehabilitation facilities to accept patients from acute-care hospitals experiencing a surge, even if the patients do not require rehabilitation care. This makes use of available beds in freestanding inpatient rehabilitation facilities and helps acute-care hospitals to make room for COVID-19 patients.

May 01, 2020
 | 
The Bottom Line

On April 26, the Centers for Medicare & Medicaid Services (CMS) announced that it is reevaluating the amounts that will be paid under its Accelerated Payment Program and suspending its Advance Payment Program to Part B suppliers effective immediately. The agency made this announcement following the successful payment of over $100 billion to health care providers and suppliers through these programs and in light of the $175 billion recently appropriated for health care provider relief payments.

Apr 24, 2020
 | 
Billing Alert for Long-Term Care

The quality measure with the most impact on revenue is clearly rehospitalization rates. With SNFVBP, SNFQRP, and the Five-Star Rating System directly or indirectly impacting reimbursement, the one measure all three of these CMS reporting programs have in common is rehospitalizations. Whether it is an all-cause all-condition, or a potentially preventable calculation, rehospitalizations can make a big difference to your bottom line. Restorative nursing programs (RNP) can help.

Apr 03, 2020
 | 
Billing Alert for Long-Term Care

CMS is delaying the Minimum Data Set (MDS) 3.0 v1.18.1 release, which had been scheduled for October 1, 2020, in response to stakeholder concerns. The MDS item sets are used by Nursing Home and Swing Bed providers to collect and submit patient data to CMS. This MDS data informs payment, quality, and the survey process.

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2019 Revenue Integrity Symposium

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