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

[Webinar] If it’s not documented, it’s not done!

Congratulations, you’ve survived October 1st and the implementation of the PDPM reimbursement system! Think you can head to the beach without any worries?  Consider these questions: What does your medical record documentation say about the care you’re providing? Does it reflect all that it should? Will your documentation pass muster if audited? … Read More