PDPM is the biggest regulatory change to hit the industry in decades. With the new reimbursement model going from a fee-for-service to person-centered care, operators have been challenged to change their processes to ensure success under the new model. While there are many different methods, the one core theme to … Read More
PDPM Reimbursement Analysis: October 2019 Claims for SNFs
PDPM REIMBURSEMENT ANALYSIS: October 2019 October findings were both fascinating and comparatively confounding relative to the RUG-system. Every Component array raised questions and displayed coding inconsistencies. The only fact that didn’t surprise us was that there were many surprises. One thing is clear; “Average Medicare Rate” is no longer an … Read More
[SimpleCFS™ update] New field on PCSP form beginning Nov. 15
Beginning Nov. 15, the PASRR Comprehensive Services Plan (PCSP) form will display a new Medicaid Eligibility (ME) field, A0810 Medicaid Eligibility. Providers will not be able to update this field. It will always remain disabled. When providers click the Submit Form button on the PCSP form, the ME will automatically … Read More
PBJ audits: Why me?
We often get asked the “Why Me?” question when a facility gets audited. Unfortunately, there’s very little disclosure from CMS on the triggers and reasons for PBJ audits. Even the associations are unable to learn much about PBJ audits. So let’s change that! Complete the first-ever PBJ Audit Survey here or by clicking … Read More
[Webinar] If it’s not documented, it’s not done!
Congratulations, you’ve survived October 1st and the implementation of the PDPM reimbursement system! Think you can head to the beach without any worries? Consider these questions: What does your medical record documentation say about the care you’re providing? Does it reflect all that it should? Will your documentation pass muster if audited? … Read More