CMS schedules Q&A session related to guidance from OASIS-D events

CMS has announced that from 2 p.m. to 3 p.m. EST Nov. 29, it will hold a question-and-answer session related to guidance on the OASIS-D presented during webinars in August and September and a Train-the-Trainer event in Baltimore in November.

Advice from the field: Reducing accounts receivable and improving collections

Deborah Collum, national director of revenue cycle management for Covenant Retirement Communities in Skokie, Illinois, uses one word to prepare people for how they’ll feel during their company’s first monthly accounts receivable (AR) meeting: naked.

Featured question from Biller’s Talk

Q: A patient came in from the hospital. The patient was admitted to Medicare Part A and was expected to stay, however after two hours, she wanted to go home and the physician ordered home health services. The patient didn’t sign the contract at the time of admission and didn’t sign an advance beneficiary notice (ABN). Does this count as a utilization day and should Medicare be billed using the AAA default rate?

Calculating Reimbursement Under PDPM

he new Patient Driven Payment Model (PDPM) goes into effect October 1st, 2019. While staff will continue to rely on computer software to convert MDS assessment data to calculate reimbursement rates, it will be vital to fully understand the rate calculation methodology to properly identify opportunities to maximize reimbursement and accurately project revenue.

• The Structure of PDPM
• The Key to Reimbursement
• Determining/Adjusting Rates and Clinical Categories
• New Opportunities for Optimizing Revenue

LUPAs remain a complicated area under PDGM

Despite the fact that payment episodes under the Patient-Driven Groupings Model (PDGM) will last 30 days instead of 60, LUPAs still will occur under the new payment model CMS is creating beginning on or after Jan. 1, 2020.