Ask The Payment Expert: What is the outlook for 2019 reimbursement for SNFs?
Expect more changes that affect reimbursement in one way or the other.
Most recent articles by Patricia Boyer
Ask the Payment Expert? Why am I not receiving incentive payments for FY 2019?
Why am I not receiving incentive payments for FY 2019 SNF Quality Reporting Program (QRP) and Value-Based Purchasing (VBP) are separate, but related, programs. QRP is required by the IMPACT ACT to collect data from five domains using assessment data as well as assessing measures related to resource use and claims-based measures. If a facility…
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 Drug Regimen Review quality measure
What do I need to know about the Drug Regimen Review quality measure that goes into effect Oct. 1?
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 … Phase 3
I recently attended a workshop that said that Phase 3 goes into effect this November. I thought it was November 2019. Which is right?
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…
Ask the Payment Expert about … how the survey process has changed
Has the new survey process really changed much?
Ask the Payment Expert about … the RCS-1 payment system
What is the new RCS-1 payment system all about?
