Four steps to take now for adjusting your therapy contracts before the PDPM transition

Here are four steps for therapy contract adjustment that you should take now to prepare for PDPM implementation on October 1, 2019.
The PDPM Transition: Step 1

Analyze your Part A fee‐for‐service utilization data

What is your RUG distribution?
What is your average length of stay by RUG?
What is your reimbursement per RUG category?
What is your average RUG rate and annual Part A fee‐for‐service revenue?

How much of your overall Medicare revenue is from Medicare Advantage?

What kinds of Medicare Advantage contracts do …

Have an idea? Want to be a writer or a speaker? Join HCPro’s talented cast!

Do you have a great idea? Are you wondering if it would translate into a book, an e-product, a presentation? Email editor Olivia MacDonald: omacdonald@hcpro.com and send me your idea.
We are always looking for people with post acute care experience to help us reach our readers. Do you have experience with any of the following:

electronic health records/management
claims denial management
medicare billing
dementia/memory care
assisted living policies and processes

Let’s talk! Email Olivia MacDonald

Upcoming webcast: Nurse Leadership: Leading Change With Enthusiasm to Enhance Person-Centered Care. January 20, 2015 from 1:00 p.m.–2:30 p.m. (ET)

Nurse Leadership: Leading Change With Enthusiasm to Enhance Person-Centered Care
Presented on January 20, 2015 from 1:00 p.m.–2:30 p.m. (ET)
Presented by Kelly Smith Papa, MSN, RN
Provide talented team members the opportunity to lead that aligns with your facility’s values.
When challenges arise in a facility, nurse leaders are often called upon to lead change with adaptability, empowerment, innovation, and critical thinking. In this 90-minute webcast, leadership expert, Kelly Smith Papa, MSN, RN, will discuss the skills, tools, and approach …

GAO releases report on implementation of Manual Medical Review process

On July 10, the United States Government Accountability Office (GAO) released a report to Congress about the implementation of the 2012 manual medical review (MMR) for Medicare outpatient therapy.
According to the report, in 2011, Medicare paid about $5.7 billion to provide outpatient therapy services for 48 million beneficiaries. This report describes the Center for Medicare & Medicaid Services’ (CMS) implementation of the 2012 MMR process, and the number of individuals and claims subject to MMRs …