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Richter ShareSource Blog

Additional Development Requests (ADRs): How to Push the Easy Button

Posted by The Clinical Consulting Team on Feb 27, 2018 8:43:00 AM

WHAT are we seeing in ADRs right now?

The long-term post-acute care (LTPAC) industry as a whole is seeing an increase of ADRs as of late. These ADRs are not only coming from Medicare, but insurance companies as well. Both entities are being increasingly aggressive in their attempts for recoupment. If a facility is not responding to ADR requests and/or not sending in appropriate documents to support the claims, they are being denied. If the auditors see a trend of this happening in a facility, they are in return sending even more. This can very quickly become overwhelming at the facility level. The best way to avoid this vicious circle is to respond to the ADR in a timely and complete manner the first time around. This keeps your LTPAC facility off the proverbial ADR radar.

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Topics: Clinical Consulting

Building Employee Engagement Part I: Viewing it from an LTPAC Leadership Perspective 

Posted by Reba Allison, BCP, Director of Human Resources on Feb 19, 2018 9:48:12 AM

See our helpful infographic below on employee engagement stats and why they matter to your LTPAC organization.

Whether you work for a long-term post-acute care (LTPAC) organization that has two or 20,000 employees, there is a common thread that must run through every staff member in order for the organization to be successful: employee engagement. Employee engagement is the emotional connection an employee feels toward their organization.   

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Topics: Employee Engagement

Preparing for Change: Medicare Beneficiary Identifier

Posted by Donna Berry, Revenue Cycle Manager-Home Health and Hospice on Feb 14, 2018 8:41:00 AM

In an effort to fight medical identity theft for people with Medicare, the Medicare Access and CHIP Reauthorization Act of 2015 requires the Centers for Medicare and Medicaid Services (CMS) to remove Social Security Numbers (SSNs) from all Medicare cards by April 2019.

Beginning in April 2018, CMS will start mailing Medicare cards with new Medicare Beneficiary Identifiers (MBIs) to all Medicare recipients. The new MBIs will replace the SSN-based Health Insurance Claim Numbers for transactions like billing, eligibility status and claim status after a transition period.

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Topics: News & Events, Medicaid Consulting

Ready or Not, Here Comes RCS-1

The long-term post-acute care (LTPAC) industry is bracing itself for yet another major change in 2018: Resident Classification System-1 (RCS-1). This new Medicare payment model is only months away, with an estimated start date of October 1, 2018. RCS-1 has the potential to turn things upside down for providers that are not sufficiently prepared.

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Topics: Regulatory Changes, Clinical Consulting, Financial Consulting

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