by Proactive LTC Consulting | Dec 2, 2019 | CMS, PDPM, Q&A, Reimbursement
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: Do you know how providers should handle the October claims that are either overpaying or underpaying since PDPM went into effect? A: To be sure, I suggest you... by PMR Team | Oct 1, 2019 | MDS, Medicare, PDPM, Reimbursement, SNF
IPA is an optional SNF PPS stand-alone MDS item set under PDPM The Interim Payment Assessment (IPA) is an optional SNF PPS stand-alone MDS item set under PDPM. The IPA can be completed when providers determine that the resident has experienced changes to his or her... by PMR Team | Sep 25, 2019 | Audits, Compliance, MDS, PDPM, Reimbursement
Tips to focus your attention in October based on actual Proactive client pre-PDPM audit trends You’ve followed the PDPM transition checklists. You’ve analyzed historic billing patterns and projected revenue shifts under the new model. You’ve trained extensively.... 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 | Sep 12, 2019 | PDPM, Reimbursement
Cognitive Scoring impacts revenue under PDPM The Brief Instrument for Mental Status (BIMS) and Cognitive Performance Scale (CPS) – is completed as part of MDS Section C and used to guide care planning of residents with confusion or a cognitive impairment. Under PDPM,... by PMR Team | Sep 4, 2019 | PDPM, Reimbursement
PDPM Top 10 To-Do List for September 1) Integrate PDPM processes for all new traditional Medicare Part A admissions; establish a plan to capture all unique patient conditions/characteristics for those with an anticipated discharge after September 30th. Incorporate the...