Patricia Boyer

Most Recent Articles by Patricia Boyer

Ask the payment expert ... about the observation stay loophole

Ask the payment expert ... about the observation stay loophole

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?

Ask the payment expert ... about matching diagnoses codes

Ask the payment expert ... about matching diagnoses codes

How important is it that diagnoses coded in Section I of the MDS match what is being billed on the UB-04?

Ask the payment expert ... about inaccurate MDS therapy information

Ask the payment expert ... about inaccurate MDS therapy information

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?

Ask the payment expert: Why do we have so many A's in our ADL coding?

Ask the payment expert: Why do we have so many A's in our ADL coding?

The new RUGs-IV scoring methodology has a strong tendency to score your ADLs lower.

Ask the payment expert: How can I make sure that my Medicare claims are correct?

Ask the payment expert: How can I make sure that my Medicare claims are correct?

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.

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