Apr 30, 2018
 | 
The Bottom Line

Many concerns and questions from stakeholders followed the introduction of the Resident Classification System (RCS),  a proposed replacement for the Prospective Payment System’s RUG-IV model published in an Advanced Notice of Proposed Rule-Making (ANPRM) last April. Highly anticipated ever since, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule late Friday, announcing significant revisions to the RCS model. The result? The Patient-Driven Payment Model (PDPM).

Apr 26, 2018
 | 
The Bottom Line

The Billers’ Association is seeking long-term care managers, revenue cycle enthusiasts, and billing professionals to join our growing ad-hoc list of experts interested in contributing to articles in our monthly publication, Billing Alert for Long-Term Care. This digital newsletter provides expansive regulatory coverage, including MDS changes, reimbursement issues, and expert advice and analysis to help improve job performance in all aspects of the revenue cycle management system.

Mar 18, 2016
 | 
The Bottom Line

By definition, Medicare coverage is considered skilled, which is a higher level of care than required by most facility residents. Because of early hospital discharges, residents often require heavy care when they are admitted to the long-term care facility. Residents are assessed within five to eight days of admission with the Minimum Data Set (MDS). Medicare assessments are repeated on the 14th, 30th, 60th, and 90th days. 

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jku369@comcast.net
jku369@comcast.net