We've had problems with residents being caught in the hospital "observation stay loophole." What can we do to ensure they qualify for coverage at our facility?
How important is it that diagnoses coded in Section I of the MDS match what is being billed on the UB-04?
What happens if my therapy company makes an error on the MDS and as a result, a change of therapy was missed? Are we still responsible?
The new RUGs-IV scoring methodology has a strong tendency to score your ADLs lower.
I recommend every facility that gets reimbursement from Medicare complete a Medicare audit annually. You want to look at yourself the same way the government does.