Be sure you’re ready for the Nov. 14, 2021 PBJ deadline! Payroll-Based Journal (PBJ) reporting for Q4 (July 1–Sept. 30) is due to CMS by Nov. 14. Join us for our live PBJ quarterly check-in webinar as we discuss the latest PBJ updates and answer your top questions in an extended Q&A session. Our … Read More
Tips for the PBJ Pro: Importance of the human touch
VALIDATING YOUR PBJ DATAImportance of the human touchEveryone falls into auto-mode now and then. While SimplePBJ continues to discover and add new verification checks for potential issues, the human touch is still needed to confirm the PBJ data you’re submitting is accurate. Don’t get lulled into thinking the data from … Read More
Analysts break ground with first batch of SNF Medicare Advantage data
Managed care plans typically hold all the cards when it comes to rate-setting. But a new way of analyzing billing data could finally give increasingly leveraged providers a better leg to stand on, financial experts say. The new analysis breaks out the data by per diem rate, length of stay, … Read More
The CORE Reporter: New perspective, better data
Medicare claims (UB-04s) are an invaluable source of SNF data. CMS releases quarterly “LDS” claim files which allow for Medicare utilization and market analysis. Third-party vendors offer useful tools that quantify referral patterns and performance metrics, but the data falls short in two critical ways. The first is timeliness; healthcare … Read More
Nursing Facilities Need to Weather the ‘Reimbursement Storm’ of Medicare Advantage
With Medicare Advantage revenue “significantly lower” than fee-for-service reimbursement, a new Zimmet Healthcare Services Group analysis says, skilled nursing facilities need to weather today’s “reimbursement storm” in order to make it to the incoming wave of baby boomers that will need facility services. In the meantime, Zimmet suggests operators utilize … Read More