As the industry moves from fee-for-service to the episodic world of care, much emphasis has been placed on understanding how payment systems work over the past couple of decades. This view evaluates outcomes at the close of an episode, before the checks get cut.
There's a familiar saying in the industry that "If it's not documented, then it's not done." But what if it is documented, but just not documented correctly?
Skilled nursing facilities are almost exclusively putting residents in individual therapy, a new report from the Centers for Medicare & Medicaid says.
A controversial new rule from the Centers for Medicare & Medicaid rule will recalibrate Medicare case mixes under the Resource Utilization Group (RUG) system. Specifically, it will eliminate a section of the Minimum Data Set (MDS) and change the RUG classification process for short-stay residents.