Recently the Department of Labor (DOL) issued a final overtime rule that may impact how and what an employer pays their employees. This rule has raised the salary threshold to determine if a salaried employee is eligible to receive overtime. According to the Department of Labor, the annual threshold is currently $23,660 for a full-time employee. Anyone earning over that does not receive overtime for working over 40 hours a week. Starting December 1, 2016, this amount has been raised to $47,476.
All healthcare provider organizations should have a strong internal controls system in place. Two areas of internal controls are checks and balances and segregation of duties. It is never too late to create checkpoints along the way to help ensure employees have different responsibilities and accountabilities. Having the following arranged is the first step:
Every aspect of the Revenue Cycle Management (RCM) involves process and Claims Management is no exception. Managing revenue cycle requires constant attention to detail. Submitting claims is only the first step.
When healthcare services shifted to the Prospective Payment System (PPS), after Congress passed the Balanced Budget Act of 1997, many providers thought that their Medicare cost reports would lose their significance. This was not the case. In addition to still being a requirement, they are also used for establishing future reimbursement rates and for benchmarking. And they are still being examined closely by the Office of Inspector General (OIG).
Before you post your next picture or comment on social media there are some things you should consider.
One of the challenges to LTPAC providers is how and when to refer unpaid accounts to outsourced solutions for collection. Ideally, your Revenue Cycle Management (RCM) process should include Best Practices for the Inquiry and Admissions Process that will help to minimize the risk of potential collection issues for Private Pay. The RCM process should also include a Policy and Procedure for “Collections”. A series of telephone calls, progressive letters, and involvement by either the Administrator and/or Business Office Manager (BOM) is standard procedure for most LTPAC providers. It is also recommended to involve your legal counsel in the review of the Policy and Procedure as well as any templated correspondence such as notices, letters of request for payment, etc.
Administering medications is one of the most common tasks completed by most nurses. Medication administration can be a monotonous and time-consuming task. One medication administration pass may take hours to complete. The actual act of giving the medications is often not the onerous part of medication administration. Gathering supplies and/or equipment and locating the patients account for large chunks of time. In my personal experience as a direct care nurse, often I would complete a medication pass only to turn around and have to start all over again with another round. Although medication administration is a common practice, it is also a matter of life and death. At times, some nurses become complacent when administering medications, but each medication error can have extreme consequences.
Topics: Clinical Consulting
Per the Merriam-Webster’s Learner’s Dictionary, the simple definition of compliance is “the act or process of doing what you have been asked or ordered to do: the act or process of complying”.
The Centers of Medicare and Medicaid Services (CMS) has made major changes to the Quality Measures and Five-Star Rating calculations this year. Now it is up to us to learn how to manage these new measures as well as the old ones. July 1, 2016 brought us six new areas in the CMS Quality Measures. Five of these areas will impact your Five Star Rating and one that will not affect your Five Star Rating (I am sure that will change in the future too).
Topics: Medicaid Consulting
All providers hate the idea of having uncollected receivables. Why does it occur? What can be done to minimize the risk for bad debt? Bad debt is the term used to describe any revenue that is uncollected.
- The act or process of doing what you have been asked or ordered to do: the act or process of complying to a desire, demand, proposal or regimen or to coercion
- Conformity in fulfilling official requirements
The regulations for documenting home care skilled service have been changing so rapidly that it is difficult to know what is required from one day to the next. When you are documenting for skilled services it is important to be thorough, yet succinct. Let’s break this down into some manageable pieces and discuss the requirements for each.
Topics: Home Health & Hospice