Patricia Boyer McKnight's Long Term Care News

Patricia Boyer

Most recent articles by Patricia Boyer

Ask the payment expert about …one star

On top of PBJ affecting the star ratings, CMS also is performing on-site and remote audits to verify data submitted. Even if you have a vendor submit your data, it cannot be stressed enough: You are ultimately responsible for what is submitted. Be sure to talk with your vendor on a regular basis and review the data together.

Ask the Payment Expert about … the new PDPM payment system

What is the new PDPM payment system all about? It was released as a proposed rule on April 27 and is anticipated to go into effect Oct. 1, 2019. This is a revision to what we previously discussed as RCS-1, which was floated as a possibility to replace RUGS IV. The Patient Driven Payment Model…

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

Ask the Payment Expert about … swing bed rehab

I am seeking info about rehab services in a swing bed setting. I know services need to be daily and require a skilled caregiver. Can OT or SLP alone meet the criteria without PT or nursing, if the need is daily? The easy answer is yes. We see no reason why providing rehab in a…

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