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.

Feb 27, 2020
 | 
The Bottom Line

Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) initial claims that are processed out of sequence are not paying the correct Variable Per Diem (VPD)-adjusted rate. Also, all adjustment claims are not processing correctly. Claims need to process in date of service order for each stay for the VPD to calculate correctly. CMS states it will correct this issue in October.

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

It’s been a big year with lots of changes, particularly with the introduction of PDPM.

Catch up on things you missed, track that article you’d like to have on hand, or start the year off with expert advice by perusing our 2019 story index.

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Tuesday, October 6, 2020 - 07:00

2019 Revenue Integrity Symposium

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jku369@comcast.net
jku369@comcast.net