Ask Proactive – Our facility is seeing an influx of Medicare Advantage Medical Review. Unfortunately, there have been a few denials based on the PDPM HIPPS code billed versus the HIPPS code generated from the MDS assessment. For example, the MA plan predetermined a score without comorbidity conditions COPD and Pulmonary Fibrosis. Now they have denied at the medical review because our MDS HIPPS code (KAPD1) did not match the plan’s approved HIPPS code (KAPF1). We billed as was approved, not what was MDS generated. Is there any way to overturn these decisions? We haven’t had luck so far.

by | Jun 17, 2021 | COVID-19, Documentation, Q&A

Q: Our facility is seeing an influx of Medicare Advantage Medical Review. Unfortunately, there have been a few denials based on the PDPM HIPPS code billed versus the HIPPS code generated from the MDS assessment. For example, the MA plan predetermined a score without...

Ask Proactive – Default or Provider Liable? I mistakenly thought a resident qualified for the interrupted stay when in actuality they readmitted beyond the 3-day interruption window (on day 4). I failed to schedule a new PPS 5-day assessment within the required timeframe. Can I still complete the PPS 5-day for billing?

by | Jun 16, 2021 | COVID-19, Documentation, Q&A

Q: Default or Provider Liable? I mistakenly thought a resident qualified for the interrupted stay when in actuality they readmitted beyond the 3-day interruption window (on day 4). I failed to schedule a new PPS 5-day assessment within the required timeframe. Can I...