PDPM Reimbursement Analysis: November 2019 Claims for SNFs

Ken BellSkilled NursingLeave a Comment

PDPM REIMBURSEMENT ANALYSIS: November 2019 CORE Analytics is pleased to present our latest observations based on November 2019 Medicare Part A claim data. CORE’s client base has grown considerably in both size and diversity since we released our October analysis. Adding November claims from providers in new markets highlights differences … Read More

PDPM Reimbursement Analysis: October 2019 Claims for SNFs

Ken BellSkilled NursingLeave a Comment

PDPM REIMBURSEMENT ANALYSIS: October 2019 October findings were both fascinating and comparatively confounding relative to the RUG-system. Every Component array raised questions and displayed coding inconsistencies. The only fact that didn’t surprise us was that there were many surprises. One thing is clear; “Average Medicare Rate” is no longer an … Read More

PBJ audits: Why me?

Ken BellSkilled NursingLeave a Comment

We often get asked the “Why Me?” question when a facility gets audited.  Unfortunately, there’s very little disclosure from CMS on the triggers and reasons for PBJ audits. Even the associations are unable to learn much about PBJ audits. So let’s change that! Complete the first-ever PBJ Audit Survey here or by clicking … Read More