AMBR members have access to the new and improved members forum, where members can chat online about billing topics and find answers and advice as well as share best practices and experiences. Recently, members have discussed:
Billing for therapy on discharge day
Billing for the time therapists care plan
If you would like to join these conversations or start your own, sigin in here. The log in is the same as your AMBR log in credentials.
Join Reg Hislop on Thursday, October 31 at 12pm EST as he discusses how to maximize revenue and minimize risk under PDPM. Register here.
More about AMBR quarterly calls
Each quarter, AMBR Director Tami Swartz will host a presentation with industry experts to discuss a variety of relevant and timely topics, including industry trends, updates, and best practices. Our members will receive guidance from, share opinions with, and have their questions answered by Medicare billing and reimbursement experts! AMBR members are welcome to present during these webcasts. Contact Tami Swartz at email@example.com if you are interested in being one of our volunteer speakers!
The new version of the MDS 3.0 RAI Manual, v1.17.1 are effective October 1, 2019 and incorporates clarifications to existing coding and transmission policy; it also addresses clarifications and scenarios concerning complex areas.
October 1 will be here before we know it. And with that comes Medicare’s new Patient-Driven Payment Model (PDPM) for beneficiaries accessing their skilled nursing facility (SNF) Part A benefit. It seems like every day there is a new webinar being advertised to help you understand the ins and outs of PDPM, but if there’s one thing you can know without any training, it’s that the new payment model is a much more complex system than the resource utilization group, version IV (RUG-IV) system that we operate under currently. As we analyze data collected in our facilities trying to understand our place in a PDPM world, though, don’t forget this important consideration: your therapy contract.
When trying to understand something complex, it sometimes helps to use food as a metaphor. Under the Patient-Driven Payment Model (PDPM), therapy becomes a piece of the pie, rather than the whole thing. For providers considering ways to minimize therapy services or reduce therapy staffing, a few additional considerations should be looked at before making any cuts.