With occupancy in senior living communities at an all-time low of 80.7% during the fourth quarter, planning to capture accurate payments, safeguarding revenue to withstand the scrutiny of Medical Review and securing 5 star status is more important than ever as we develop QA and Compliance workplans for 2021. Consider these top areas providers should consider in 2021 workplans as they prioritize efforts with limited resources:
- Survey readiness
- Quality Measures
- PDPM coding accuracy
- Skilled documentation to support waiver use and claims involving payment associated with COVID positive status
- Accounting and reporting of Provider Relief Funds
- CMI accuracy
Contact Proactive to learn more about audit services and consulting partnerships that drive reimbursement accuracy, quality improvement and operational compliance.