Ask the payment expert

Ask the Payment Expert about ... Phase 3

Ask the Payment Expert about ... Phase 3

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I recently attended a workshop that said that Phase 3 goes into effect this November. I thought it was November 2019. Which is right?

Ask the Payment Expert about ... how the survey process has changed

Ask the Payment Expert about ... how the survey process has changed

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Has the new survey process really changed much?

Ask the Payment Expert about ... the RCS-1 payment system

Ask the Payment Expert about ... the RCS-1 payment system

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What is the new RCS-1 payment system all about?

Ask the Payment Expert about ... new and old survey processes

Ask the Payment Expert about ... new and old survey processes

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With the new survey process, does that mean other survey types have gone away?

Ask the payment expert about ... probe and educate reviews

Ask the payment expert about ... probe and educate reviews

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Are the probe and educate reviews occurring only in home health agencies or in skilled nursing facilities as well?

Ask the Payment Expert about ... the new survey process

Ask the Payment Expert about ... the new survey process

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How should our facility prepare for the new survey process?

Ask the Payment Expert about ... facility assessments

Ask the Payment Expert about ... facility assessments

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Can you tell me more about the Facility Assessment that will be implemented in Phase 2 of the Rules of Participation?

Ask the Payment Expert about ... Mega-rule expenses

Ask the Payment Expert about ... Mega-rule expenses

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I'm concerned with the new mega- rule expenses and that maybe I need to rethink my need for SNF beds. What are your thoughts?

Ask the Payment Expert about ... preparing for the new survey

Ask the Payment Expert about ... preparing for the new survey

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How do we prepare for the new survey process?

Ask the Payment Expert about ... community structure

Ask the Payment Expert about ... community structure

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I'm concerned with the new megarule expenses and that maybe I need to rethink my need for skilled nursing beds. What are your thoughts?

Ask The Payment Expert about ... Phase 2 of the Requirements of Participation

Ask The Payment Expert about ... Phase 2 of the Requirements of Participation

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When does Phase 2 of the Requirements of Participation start and should we be concerned?

Ask The Payment Expert: Patricia Boyer

Ask The Payment Expert: Patricia Boyer

Can you clear up confusion over quality measures and how long people remain on the report?

Ask the Payment Expert about ... competency-based staffing

Ask the Payment Expert about ... competency-based staffing

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What do new requirements mean about competency-based staffing?

Ask the Payment Expert about ... preparing for the new requirements and surveys

Ask the Payment Expert about ... preparing for the new requirements and surveys

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What do we need to do to prepare for the new regulations and survey process?

Ask the Payment Expert about ... keeping finances in order for 2017

Ask the Payment Expert about ... keeping finances in order for 2017

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With the first month of 2017 already behind us, what are some recommendations to keep your "financial house in order" the rest of the year?

Ask the Payment Expert about ... acuity-based staffing

Ask the Payment Expert about ... acuity-based staffing

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What is acuity-based staffing and how do we know what our acuity is?

Ask the Payment Expert about ... SNF Value Based Purchasing Program

Ask the Payment Expert about ... SNF Value Based Purchasing Program

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How does the new Skilled Nursing Facility Value Based Program relate to our Medicare payments?

Ask the Payment Expert about ... new CMS initiatives

Ask the Payment Expert about ... new CMS initiatives

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There are so many new programs coming out from the Centers for Medicare & Medicaid Services recently that it's hard to understand. Is the criteria the same for them all?

Ask the Payment Expert about ... Medicare data

Ask the Payment Expert about ... Medicare data

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It seems like Medicare always has so much information about us. How can we access that data?

Ask the Payment Expert about ... how to calculate cost of care

Ask the Payment Expert about ... how to calculate cost of care

Our referral hospital system is asking us what our cost of care is. How do I calculate that?

Ask the Payment Expert about ... the new Payroll-Based Journal system

Ask the Payment Expert about ... the new Payroll-Based Journal system

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Can you explain the new Payroll-Based Journal system?

Ask the Payment Expert about ... the new MDS Section

Ask the Payment Expert about ... the new MDS Section

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Can you explain the new MDS Section and assessment?

Ask the Payment Expert about ... bundled payment initiatives

Ask the Payment Expert about ... bundled payment initiatives

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How do bundled payment initiatives affect my facility?

Ask the Payment Expert about ... bundled payments in rural areas

Ask the Payment Expert about ... bundled payments in rural areas

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We are in a rural area and we've tried to talk to our hospital about bundled payment but they don't seem to know what we are talking about. What can we do?

Ask the Payment Expert about... data interoperability

Ask the Payment Expert about... data interoperability

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he SNF Final Rule indicates that interoperability of data will be important. What do we need to do about this issue?

Ask the Payment Expert about... new quality measures

Ask the Payment Expert about... new quality measures

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What is the new Quality Measure that will be included in the new SNF Value Based Purchasing program?

Ask the Payment Expert about... Quality Measures

Ask the Payment Expert about... Quality Measures

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What are the Quality Measures that will be included in the new SNF Value Based Purchasing program?

Ask the Payment Expert about... SNF Final PPS rule

Ask the Payment Expert about... SNF Final PPS rule

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The SNF Final PPS rule for fiscal 2016 talks about SNF Value Based Purchasing. Can you explain it?

Ask the Payment Expert about... bundled payments

Ask the Payment Expert about... bundled payments

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Is it true that hospitals may be able to send patients to us following joint replacement surgery without a three-day hospital stay?

Ask the Payment Expert ... about MDS-focused surveys

Ask the Payment Expert ... about MDS-focused surveys

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I keep hearing about MDS-focused surveys. What are they?

Ask the payment expert ... about administrative financial knowledge

Ask the payment expert ... about administrative financial knowledge

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How important is it for department managers to understand financial information?

Ask the payment expert ... about quality metrics

Ask the payment expert ... about quality metrics

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A metric is a measurement of some sort of factor. For a quality metric, we are measuring quality in your facility. Companies measure performance against quality standards to determine whether they're meeting expectations. This measurement may be compared to benchmarks by labor market, by state or by national prevalence.

Ask the payment expert ... about long-term compliance

Ask the payment expert ... about long-term compliance

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Sometimes we feel like we're spinning our wheels in correcting problem areas in our facility. What can we do to ensure ongoing compliance in problem areas?

Ask the payment expert ... about ABNs and denial letters

Ask the payment expert ... about ABNs and denial letters

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Can you demystify the ABNs and denial letters process?

Ask the payment expert ... about PEPPER reports

Ask the payment expert ... about PEPPER reports

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We never downloaded our PEPPER report. How important is it?

Ask the payment expert ... about regs vs. resident choice

Ask the payment expert ... about regs vs. resident choice

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We are going through culture change and wonder if surveyors will be more lenient with regulations if we do something that is resident choice?

Ask the payment expert ... about supporting MDS completion

Ask the payment expert ... about supporting MDS completion

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What is the best nursing structure to support the MDS process?

Ask the payment expert ... about facility comparisons

Ask the payment expert ... about facility comparisons

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What information is available so we can compare our nursing facility to others in the industry?

Ask the payment expert ... about Medicare audit guidelines

Ask the payment expert ... about Medicare audit guidelines

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What guidelines should we use for a Medicare audit?

Ask the payment expert ... about continuing RAC requests

Ask the payment expert ... about continuing RAC requests

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I thought the Recovery Audit Contractors (RACs) were on hold. Why did we still get a request for records?

Ask the payment expert ... about Medicare changes

Ask the payment expert ... about Medicare changes

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What significant changes in Medicare occurred for us in 2014?

Ask the payment expert ... about quality of care and reimbursements

Ask the payment expert ... about quality of care and reimbursements

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Many states are at the forefront of pay for performance initiatives. These tie payment incentives to quality measurements and outcomes. These programs are encouraged by the Centers for Medicare & Medicaid Services' value-based purchasing "Pay for Performance" initiative.

Ask the payment expert ... about Medicare technical requirements

Ask the payment expert ... about Medicare technical requirements

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We were told we didn't meet technical requirements for Medicare. What does that mean?

Ask the payment expert ... about the financial benefits of QAPI

Ask the payment expert ... about the financial benefits of QAPI

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What are the financial benefits to implementing CMS's Quality Assurance Performance Improvement program?

Ask the payment expert ... about the Brief Interview for Mental Status

Ask the payment expert ... about the Brief Interview for Mental Status

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Is there anything we should be doing with the results of the Brief Interview for Mental Status (BIMs) and PHQ-9 that we get from the MDS?

Ask the payment expert ... about changes related to Jimmo v. Sebelius

Ask the payment expert ... about changes related to Jimmo v. Sebelius

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How come there are so many Medicare A denials when Jimmo v. Sebelius stated we could keep residents on Medicare A even if they are not improving?

Ask the payment expert ... about MDS changes and payment

Ask the payment expert ... about MDS changes and payment

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With all the changes to the MDS on Oct. 1, 2013, how will payment be affected?

Ask the payment expert ... about PEPPER reports

Ask the payment expert ... about PEPPER reports

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What can you tell us about PEPPER reports?

Ask the payment expert ... about clinical qualifiers

Ask the payment expert ... about clinical qualifiers

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Most of our residents are covered under rehab services, so why do we need to worry about capturing clinical qualifiers?