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Richter ShareSource Blog

Understanding Key Performance Indicators for Revenue Cycle Management

Posted by Lauren Gurcze on Mar 24, 2016 2:12:11 PM

Revenue Cycle Management is all about process. If you understand the process, you can manage both the process and those employees who may have a role in it.

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Topics: Revenue Cycle Management

Details Matter When Customizing Your Electronic Health Record (EHR)

Posted by Celeste Rininger on Mar 24, 2016 2:07:21 PM

Utilization of Electronic Health Record (EHR) has opened the door for many persons/facilities/organizations to become active in customizing and/or adding items to their database wherever possible. The ability to add facility or organizational specifics has enabled uniformity and consistency with the building of templates/pick-list(s) and libraries. It can be either the time saving tool everyone loves or a problematic add-on that can have both monetarily or regulatory implications.

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Topics: Clinical Consulting, Revenue Cycle Management, Implementation, Financial Consulting

Tips for Talking to Families About Payment for Skilled Nursing Facility (SNF) Care

Posted by Carolyn Lookabill V.P./COO on Mar 22, 2016 10:53:37 AM

Do you wish you had a nickel for every family member who said, “The Doctor said Medicare would pay for everything.”?  

If only that was true.  Prospective residents and family members are often in a whirlwind of emotion and confusion when contemplating Post-Acute care options.  Between trying to visit someone in the hospital, pay attention to the recommendations of professional caregivers, consider choices to be made and then remembering to pick up ‘Jimmy’ after soccer practice, it can be just too much.

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Topics: Medicaid Consulting, Clinical Consulting, Revenue Cycle Management, Financial Consulting

Can Your LTPAC Audit Processes Stand Up to an Audit?

Posted by Maureen Hedrick on Mar 18, 2016 7:00:00 AM

It seems as though changes in our industry are coming fast and furious now. The implementation of the Affordable Care Act (ACA) has resulted in an increased scrutiny of our processes. With a larger focus on audits and overpayments, we are facing a future with a much different payment landscape – including bundled payment programs based on clinical outcomes.

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Topics: Medicaid Consulting, Revenue Cycle Management, Financial Consulting

Sepsis: Early Detection May Save A Life

The early detection and treatment of sepsis is exceedingly important. So let's start off with the definition of sepsis:

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Topics: Clinical Consulting

Payroll-Based Journal (PBJ) Requirements for LTPAC Facilities - Are You Ready?

Posted by Sandra Reutter, Consultant on Mar 14, 2016 10:19:34 AM


In accordance with Section 6106 of the Affordable Care Act, the Center for Medicare and Medicaid Services (CMS), working towards greater accountability and accuracy, has introduced a means for nursing facilities to report electronically staffing information which will eventually be utilized in the determination of 5 Star Ratings on quality care.  This system is known as the “Payroll-Based Journal” (PBJ), and is mandated to start on July 1, 2016.

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Topics: Accounting, Financial Consulting

Implementation Tips: Electronic Fund Transfers (ETFs) and Electronic Remittance Advices (ERAs)

Posted by Lauren Gurcze on Mar 10, 2016 11:19:34 AM

As with everything else these days, paperless and electronic are the way to go when it comes to receiving payments and remittances from your third party payors.  As cash flow is usually a top priority with healthcare providers, the quicker the funds get to them and the quicker billers can respond to denials and turn them back around for payment the better.

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Topics: Revenue Cycle Management, Financial Consulting

Understanding the New Face-to-Face Regulation for Medicaid Home Healthcare Services


The
Centers for Medicare and Medicaid Services (CMS) released a new regulation on February 2, 2016 requiring patients who receive Medicaid benefits for home healthcare services to have a face-to-face visit.

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Topics: Medicaid Consulting, Clinical Consulting, Revenue Cycle Management, Financial Consulting

Diagnosis Management In The LTPAC: Whose Responsibility Is It?

Posted by Celeste Rininger on Mar 4, 2016 12:34:00 PM

Repeatedly, I hear MDS Nurses stating that it’s “not their job” to oversee or manage the diagnosis. Honestly, as a previous MDS Nurse, I cannot believe there is even a question as to who is responsible. So, I ask them: Who signs Section I of the Minimum Data Set (MDS)?

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Topics: Clinical Consulting

Final Medicare Overpayment Reporting Rule - What You Need to Know

Posted by Maureen Hedrick on Mar 3, 2016 11:32:34 AM


On February 11th, the Centers for Medicare and Medicaid Services (CMS) finalized the Medicare Overpayment Reporting Rule. Originally introduced by the Affordable Care Act (ACA) in 2010 as a means to combat fraudulent overpayments and ultimately protect the Medicare Trust, this rule clarifies the requirements for reporting and returning “self identified” overpayments to Medicare, and the timeframes in which providers are expected to do so.

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Topics: Medicaid Consulting, Revenue Cycle Management, Financial Consulting

QAPI Basics - The 12 Steps


In Part One QAPI for the LTPAC in 2016, I reviewed the definition of QAPI and discussed the 5 elements of QAPI. Part Two of this series is going to focus on the twelve steps of QAPI. In order for any QAPI process to be successful, it is recommended that you use the twelve steps as developed by the Centers for Medicare and Medicaid Services (CMS).  

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