by PMR Team | Jun 27, 2019 | Audits, Coding, Compliance, Medicare, PDPM, Regulatory, Reimbursement
A strong Triple Check process requires a group effort The Triple Check process is an internal audit that ensures billing accuracy and compliance with regulatory guidelines prior to the submission of claims to Medicare and other payors. A strong Triple Check process... by PMR Team | Jun 19, 2019 | Hospitals, PDPM, Physicians, Reimbursement
Proactive has released two new PDPM toolkits: PDPM Physician Toolkit and Hospital PDPM Quick Guide and Hospital to SNF Discharge PDPM Documentation Checklist PDPM Physician Toolkit ($129) The PDPM Physician Toolkit provides the essential information and query process... by PMR Team | Jun 12, 2019 | Compliance, Consulting, SNF
Effective systems critical for a robust Compliance Program A compliance program is made up of the written policies, procedures and day to day operational actions that focus on preventing and detecting violations of law and regulations and on promoting care quality.... by PMR Team | Jun 3, 2019 | 5-Star, QAPI, SNF
This blog is one in a series of blogs focusing on SNF 5-Star Quality Measures. Click here to see all 5 star blogs. CMS Five-Star Quality Rating System: The Path to 5-Star QMs Percent of residents whose need for help with activities of daily living has increased One of... by PMR Team | May 28, 2019 | MDS, PDPM, Reimbursement, SNF
PDPM includes specific provisions to ensure that it accounts for the increased costs associated with caring for SNF patients with HIV/AIDS. Is your facility prepared to manage complex care plans associated with higher acuity admissions? Historically in accordance with...