by PMR Team | Sep 17, 2019 | Medicare, PDPM, Reimbursement
What does PDPM mean for Medicare Part A beneficiaries who will reside in the facility under both payment models? RUG-IV comes to a hard stop at 11:59pm on September 30th, 2019 and will be replaced with the Patient Driven Payment Model at 12:00am on October 1st. What... by PMR Team | Aug 21, 2019 | Hospitals, Medicare, PDPM, Physicians, Reimbursement, SNF
Factors Impacting Reimbursement Become More Complex Under PDPM, the factors impacting reimbursement become more complex. Supportive documentation should reflect this complexity through descriptions of the relevant care and services impacting each of the five payment... by PMR Team | Jul 21, 2019 | MDS, Medicare, PDPM, Webinars
Don’t miss the expert panel session on Operational Strategies for Success Under PDPM coming in August in our Moving Mountains Series! SNF experts in MDS coding, software, reimbursement, accounting, compliance and legal issues will share tips and strategies to conquer... 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...