by PMR Team | Jul 15, 2019 | Regulatory, SNF
As part of the CMS Patients Over Paperwork Initiative, CMS is requesting comments on how to reduce administrative burden for providers. The purpose is to “increase quality of care, lower costs, improve program integrity, and make the health care system more effective,... by PMR Team | Jul 15, 2019 | Compliance, Medicare, PDPM, Reimbursement
ICD.10 coding will have a major impact under PDPM ICD.10 coding will have a major impact under PDPM with the PT, OT, SLP and the bulk of the NTA items (35 of the 50 are diagnosis related items) paid in part based on the diagnoses coded on the MDS. You’ve attended... by PMR Team | Jul 10, 2019 | Compliance, Medicare, PDPM, Reimbursement
Missed coding will have a significant impact on the bottom line PDPM considers a vast array of patient characteristics in the reimbursement calculation. Primarily based on MDS coding accuracy to “paint the picture” of each resident’s needs, missed coding will have a... by PMR Team | Jul 9, 2019 | Audits, Compliance, Medicare, Regulatory, Reimbursement
The Quality Improvement Organization (QIO) Program originated with the Peer Review Improvement Act of 1982 and is authorized by Title XI Part B and Title XVIII the Act. The goal of the QIO program is to improve the quality of care for Medicare beneficiaries, including... by PMR Team | Jul 1, 2019 | Medicare, PDPM, Reimbursement, SNF, Therapy
Greater flexibility is good news for SNFs Beginning 10/1, up to 25% of therapy may be provided as group and/or concurrent treatment per discipline. Greater flexibility in how care and services may be delivered to Medicare patients is good news for SNFs, but keep in...