Question: In PointClickCare® POC can we select more than one response per question at a time for any task?
This time of the year is an ideal time to review the manner by which the facility's Resident Trust or Personal Needs accounts are being managed. The Resident Trust is usually the most common way that an employee can embezzle as it is often the least regulated and monitored by LTC management. According to McKnight's Long Term Care News, the Office of the Inspector General (OIG) will increase its focus and review of the Resident Trust more carefully in the coming year. Best practice is to have appropriate checks and balances in place for the management of the Resident Trust in order to protect resident monies and to reduce facility exposure to citations and/or potential employee theft.
Admissions is not a person. Admissions is not a department. Admissions is a process. With an increasing regulatory environment and scrutiny by payers regarding claims submitted, it is ever important for Skilled Nursing Facilities (SNFs) to have a structured Admissions process. A structured Admissions process is fundamental to successful Accounts Receivable Management. Successful Accounts Receivable Management helps to ensure positive cash flow to fund the payroll and programming goals for the facility. Quality care and innovative programming require a positive cash flow.
Topics: Clinical Consulting
Question: We have admitted a resident with insurance as their payer, and I need to complete the Admission MDS. However, I also need to get a RUG for the insurance billing, but I am being told I should not combine the assessments because they are only being used for insurance.
Topics: Clinical Consulting
Question: We have to gather specific data regarding our Medicare Part A revenue for our Medicare Cost Report. What report could I run in PointClickCare® to show this information?
Question: How Can I Be More Efficient With GL Monthly Processes?
Question: Do you understand certification and recertification?
Question: When should we use a promissory note for AR collections?
Question: What kinds of presentations work best for Family Nights?
Question: What is IRM?
Question: In PointClickCare®, after importing my transactions from AR at month end, I have errors and I'm out of balance. What causes this?
Question: Why can't I let my MDS software triggers determine what CAA's I address for the care plan?
Question: Can I complete a COT to increase from a clinical to a rehab RUG?
Question: Should we offer ACH, EFT and Credit Card options for payments to our center?
Question: How can I manage the collection letter process using my billing software?
Question: Our SNF offers respite stays, especially in the summer. Do I have to complete an MDS for someone who is only going to be with us for 30 days?
Question: We pay the performers for our Activity Department programs from petty cash. Should we pay them by check? When do they get a 1099 vs. a W-2?
Question: My boss wants Admission & Social Services to have evening and weekend hours for families. Is this really necessary?
Topics: Revenue Cycle Management
Question: Do we need to complete an MDS for a patient who is Hospice?
Question: I know that I can save documents in PointClickCare®. But where should I save things like the POA, Guardianship papers, etc. that I get during the Admissions process?
Topics: Revenue Cycle Management
Question: Is there a problem if I combine the Admission (OBRA) assessment with a 14 day (PPS) MDS?
Topics: Clinical Consulting
Question: PointClickCare®: How do I create a new fiscal year in my database?
Question: PointClickCare®: How do I get my income statement to calculate PPD (per patient day) amounts and how do I show this in a column on my report?
Question: PointClickCare®: Can I import my payroll and other journal entries?
Question: What is the Level of Care (LOC) section in the Census/Rates tab used for and how does this information get entered into PointClickCare®?
The (RAI) Resident Assessment Instrument offers guidance in completion of the MDS, but many times it is misinterpreted and thus coding errors occur. Section G0110 Activities of Daily Living of the MDS 3.0 is a prime example of where misinterpretation and miscoding can impact reimbursement. Question G0110 includes instructions for the Rule of 3:
The deadline of September 23, 2013 has passed for compliance with U.S. Department of Health and Human Services’ (HHS) final rule for covered entities, business associates and their subcontractors to comply with the new HIPAA rules.
The beginning of the year is an ideal time to review the manner by which the facility's Resident Trust or Personal Needs accounts are being managed. The Resident Trust is usually the most common way that an employee can embezzle as it is often the least regulated and monitored by LTC management. According to McKnight's Long Term Care News, the Office of the Inspector General (OIG) will increase its focus and review of the Resident Trust more carefully in the coming year. Best practice is to have appropriate checks and balances in place for the management of the Resident Trust in order to protect resident monies and to reduce facility exposure to citations and/or potential employee theft.
Very few people make "streamline accounting services" their new year's resolution. Nonetheless, January is the perfect time for long term care facilities to assess the upcoming changes in legislation that will affect accounts receivable and accounts payable. Take note of these important dates to help ensure effective revenue cycle management.
Does all of the talk about ICD-10 prep sound a bit reminiscent of Y2K?
Frequent staff changes, although common in the long term care industry, mean that many facilities have little time to properly train new staff members in electronic health records software. Richter Healthcare Consultants is a Certified Training Partner for PointClickCare®, the premier EHR and Financial platform for continuing care providers in North America. With over 400 successful PointClickCare® implementations across the United States, we are now assisting provider clients in optimizing their PointClickCare®experience.
Revenue Cycle Management is a process, not a department or a person. The skill set required for successful Revenue Cycle Management today requires a strategic approach to Accounts Receivable, Accounts Payable, Billing of all payer types, HIPAA Compliance and adherence to state and federal guidelines.
During the course of a Medicare beneficiary’s single illness or course of treatment, many individual providers have traditionally billed Medicare for services provided. This traditional model has encouraged payments based on quantity of services, rather than focusing on the quality of care and services provided to the beneficiary. It has not encouraged the coordination of care between these individual providers (i.e.: hospitals, post-acute facilities and providers, physicians and other practitioners).
The Centers for Medicare & Medicaid Services (CMS) has released five interactive Health IT guides. These guides target Physician and Hospital provider types, Continuing Care providers, Long Term Care, Assisted Living and Independent Living, including those that offer Nurse Practitioner services. Home Health/Hospice agencies and on-site physician care will also find practical application to their product lines; they can benefit by working with their various providers to help ensure that health information technology (HIT) in place helps them meet the government requirements.
MyCare Ohio, a new managed care program for Ohioans who receive both Medicare and Medicaid benefits, will begin starting May 1. MyCare Ohio will be implemented in 29 participating counties (Area Agency on Aging). MyCare Ohio is a three-year demonstration project developed to determine the ability of the State to better manage the care and costs of Medicare/Medicaid recipients. Long term care (LTC) facilities should immediately begin to learn about the program details specific to LTC and to initiate dialogue with the insurance carriers for their region.
The Office of Inspector General (OIG) recently released the OIG Work Plan for 2014, which outlines the primary objectives of each quality of care, compliance and fraud reduction projects. Home Health and Hospice providers must adhere to a set of standards unique to the continuing care industry, and many are not in compliance. OIG has made it clear what these organizations need to align to avoid fraud or abuse.
A critical component of Revenue collection is the initial discussion of payment terms with residents and their family members at the time of admission to your SNF/AL/CCRC. For many people, discussions about financial issues are considered "private" and reserved for relationships of trust with other family members or advisors such as bankers, attorneys, etc. Certainly not a topic to be discussed with strangers. However, all continuing care providers need to initiate a discussion regarding payment in order to help ensure that the expectations are clear for both the resident/family and the provider.
Are you a PointClickCare® user? Was your System implementation more than 18 months ago? It may be time for a quick review of your utilization. PointClickCare®offers regular software updates and enhancements, but if you have had a change in staff or have not kept up with the updates, you may not be realizing the full potential of your software capabilities.
MyCare Ohio, a new managed care program for Ohioans who receive both Medicare and Medicaid benefits, will roll out starting July 1 for Homecare and Hospice patients residing in the Northeast region of Ohio. MyCare Ohio is a three year demonstration project developed to determine the ability of the State to better manage the care and costs of Medicare/Medicaid recipients. A total of 29 countiesare affected. Home Health and Hospice agencies should immediately begin to learn about the program details specific to HHAs and Hospices and to initiate dialogue with the insurance carriers for their region. HHAs and Hospices will need to contract with the Managed Care Plans.
Did you know that a misspelled beneficiary's name is the number one billing error identified by CMS? Errors within the Intake process can hinder your agency's Revenue Cycle Management process, potentially reducing the cash flow that keeps your agency financially viable. It is imperative that agencies follow best practices to help collect revenue.