Ask the payment expert: What changes are coming to the 5-Star rating with the new refresh?
What changes are coming to the 5-Star rating with the new refresh?
Caryn Adams
Caryn Adams is McKnight's Ask the Expert Payment columnist.
Most recent articles by Caryn Adams
Ask the payment expert: How to ensure our facility is receiving optimal reimbursement under PDPM?
I am not sure our facility is receiving optimal reimbursement under Patient Drive Payment Model provisions. Where should I start?
Ask the payment expert: Any ideas on how to improve Medicaid reimbursement?
I have received questions from multiple states on how to improve Medicaid reimbursement. Any ideas?
Ask the payment expert: PDPM’s flexibility
Can you comment on the Patient Driven Payment Model’s flexibility? Facilities might reduce traditional therapy while adding group/social exercise classes and then have therapists guiding the curriculum there.
Ask the payment expert: How many minutes of therapy should be provided, according to diagnosis?
How many minutes of therapy should be provided, according to diagnosis?
Ask the payment expert: Now that PDPM is in full swing, what should be on my radar for 2020?
Now that PDPM is in full swing, what should be on my radar for 2020? There is always one more thing on the horizon. This month is the rollout of the Phase 3 requirements of the conditions of participation, while many facilities are still struggling to adjust to Patient Driven Payment Model. I would recommend…
Ask the payment expert: PDPM is now underway, what should I be concerned about?
Now that PDPM is officially underway, what should I be concerned about? As our clinical team and I have completed trainings for facility staff on the Patient-Driven Payment Model, questions and concerns related to compliance and payment have come forth. The way skilled nursing facilities will be reimbursed has changed; the Medicare regulations and requirements…
Ask the Payment Expert
What are the final things we should do to be ready for PDPM Oct. 1? With the implementation of the Patient-Driven Payment Model mere weeks away, the final countdown is on. Shore up the facility RAI policies related to PDPM; change verbiage for RUGS to PDPM, and review who is completing the sections of the…
Ask The Payment Expert
With just about six weeks until the PDPM rollout, what should be occurring at our facility? With the October 1 Patient-Drive Payment Model implementation date fast approaching, there are many tasks that facilities should be completing. If you haven’t completed a baseline readiness assessment, there’s no time now! Initiate QAPI to ensure training and compliance.…
Ask The Payment Expert
My April Five-Star rating is different from what I expected. Why? In March, the Centers for Medicare & Medicaid Services posted changes to the Five-Star calculation methods that affected ratings beginning in April. The health inspection domain is unfrozen after allowing time for all facilities to be surveyed under the new process that rolled out…
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