This book with downloadable tools helps you navigate recent changes to the RAI and includes more than 100 customizable care plan templates, as well as the most up-to-date care area assessment (CAA) worksheets from CMS. With many updated regulations already in effect, this timely book covers Section GG, discharge planning, QAPI, person-centered care, and survey changes, as well as the changes resulting from the ICD-10 transition.
The state of New York is proposing a change in the way it calculates the case mix that sets Medicaid reimbursements for skilled nursing facilities — with the goal of realizing $246 million in net savings.
Developing a proactive internal approach to identifying and correcting billing issues before they become problematic is always good practice. Education and training on billing, coding, and documentation are essential. And as with any solid system, success depends heavily on continued monitoring of the process.
This year, AMBR for Long-Term Care is partnering with the National Association for Healthcare Revenue Integrity (NAHRI) to offer a track at the Revenue Integrity Symposium dedicated to the unique billing and reimbursement challenges in that setting.
SNF Provider Preview Reports are available during a 30-calendar day preview period beginning from the date on which providers can access the report. SNF providers have until May 30, 2019 to review reports that contain data submitted between 2017 Quarter 4 and 2018 Quarter 3 for assessment-based quality measures, and between 2017 Quarter 1 to 2017 Quarter 4 for claims-based quality measures.