Ask the payment expert Articles

What's the best way to prevent Immediate Jeopardy citations?

May 01, 2012

We've been assisting facilities in several states with Immediate Jeopardy (IJ) resolutions. One of the big changes we are seeing is that when an IJ situation is cited, multiple tags are affected and so multiple IJs are identified.
 

Ask the payment expert: How will the RAC audit process affect nursing homes?

April 02, 2012

They already are. We were recently involved in a RAC audit appeal process. Nursing facilities should be prepared to know what a RAC review can result in.
 

Ask the payment expert: What are some tips for completing a Change of Therapy OMRA accurately?

March 01, 2012

Nursing and therapy need to be monitoring the therapy level on a continual basis. Therapy staff need to look forward seven days to make sure they planned the appropriate days and minutes of care and look back to make sure it was given as planned.
 

Ask the payment expert: How do I know if I need to complete a Change of Therapy OMRA?

February 01, 2012

The Change of Therapy (COT) OMRA means that each therapy resident is always in a "look back" period. When an assessment is completed, either a scheduled assessment or an EOT-R assessment, it sets a new seven-day observation period.
 

Ask the payment expert...Should we add more MDS staff to meet new regulations?

January 03, 2012

Patricia Boyer, MSM, NHA, RN, President, Boyer & Associates, LLC
 

Ask the payment expert: How to maintain solvency under increased Medicare scrutiny (Part III)

October 01, 2011

Patricia Boyer, MSM, NHA, RN, President, Boyer & Associates, LLC
 

Ask the payment expert: Coping with RUG payment reductions, Part II

September 01, 2011

Patricia Boyer, MSM, NHA, RN, President, Boyer & Associates, LLC
 

Ask the payment expert: How can facilities remain financially solvent with potential RUG reductions?

August 02, 2011

Patricia Boyer, MSM, NHA, RN, President, Boyer & Associates, LLC
 

Ask the payment expert: Can facilities remain financially solvent with possible RUG reductions looming?

July 01, 2011

Patricia Boyer, MSM, NHA, RN, President, Boyer & Associates, LLC
 

Ask the payment expert: Can a facility bill a higher RUG rate for two residents in isolation?

May 02, 2011

Patricia Boyer, MSM, NHA, RN, President, Boyer & Associates, LLC
 
« Previous
Next »
Popular Topics
ACHCA Al Rundio ALFA Alzheimer's Assisted Living Avalere Health Budget C. Diff Capital Budget Centers For Medicare & Medicaid Services CMS Dementia Dual Eligibles Finance Five-Star Quality Rating System Green Acres Health And Rehabilitation Heart Failure Hospice Incentive Long-Term Care Medicaid Medicare Nurse Nurse Manager’s Guide To Budgeting And Finance Nursing Homes