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Richter ShareSource Blog

Understanding How to Skill Residents Under Medicare A in a Post-PDPM World


 

Here at Richter, our Clinical Consulting team has fielded an array of questions lately from skilled nursing facility (SNF) clients regarding what to skill residents for under Medicare A, and what the criteria is.

Based on our decades of experience in the industry, we’ve found that such questions aren’t out of the ordinary in “normal circumstances.” Indeed, under previous PPS payer rules, when a Medicare resident was discharged from an acute-care hospital, the general assumption was that they were eligible for skilled services through their need of therapy services. Accordingly, during this time, much of the documentation burden also lay with the therapist.

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Topics: Clinical Consulting, pdpm, clinical consulting services

Revenue Cycle Management Technology

Posted by Ken Voll, Director of Revenue Cycle Management on Apr 21, 2020 1:19:00 PM

How the Right Technology Can Help Your LTPAC Optimize Revenue Cycle Management

All long-term post-acute care (LTPAC) organizations must generate revenue in order to pursue their mission and grow. Yet, generating revenue by itself is not enough; your organization must also collect the revenue while minimizing leakage and potential lost dollars. That’s where revenue cycle management (RCM) comes into play.

RCM tracks client revenue from admission/registration through collection of accounts receivable balances. The cycle includes the universe of administrative and clinical functions in an LTPAC organization that contribute to the capture, management and collection of patient service revenue.

If you seek ways to boost profitability and enhance outcomes, optimizing RCM is a prime place to start. In this blog, we explore how applying the right technology toward strategic ends can help your LTPAC optimize revenue cycle management at every stage of the process.

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Topics: Revenue Cycle Management, long term care revenue cycle management, revenue billing cycle, long term care consulting firms, long term care consulting services

Skilled Nursing Facility COVID-19 Infection Prevention and Control: Five Strategies for Improvement


In “normal” times, your skilled nursing facility staff should be taking all necessary steps to prevent and control infections throughout the facility. As the current COVID-19 pandemic continues to unfold, it’s safe to say these are anything but normal times.

Fortunately, skilled nursing facilities here in the U.S. up to now haven’t had to deal with major outbreaks beyond seasonal flu. Unfortunately, that has partly caused too many skilled nursing and senior care organizations to overlook basic steps that help prevent and control infections throughout a facility.

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Topics: skilled nursing facility consultants, clinical consulting services, Coronavirus, SNF Consultants, nursing home management consultants, COVID-19, infection prevention, infection control

Economic Recovery From COVID-19: CARES Act Takeaways for Long-Term Post-Acute Care Organizations

Posted by Maureen Hedrick on Apr 16, 2020 7:45:00 AM

 

Like all providers in the healthcare arena, long-term post-acute care (LTPAC) organizations have been engulfed in a whirlwind of dramatic change by the coronavirus (COVID-19) pandemic . This crisis not only presents enormous clinical challenges for LTPACs, but myriad financial impacts threaten many facilities’ very existence.

Federal relief was sorely needed – quickly – and on March 27, it arrived via the $2 trillion Coronavirus Aid, Relief, and Economic Security Act (CARES Act) which was signed into law by President Trump. The CARES Act offers healthcare providers – LTPACs included – an array of relief measures designed to ease financial and regulatory burdens associated with this crisis.

 

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Topics: skilled nursing facility consultants, Coronavirus, SNF Consultants, COVID-19, long term post-acute care, CARES Act

Easing COVID-19 Burdens for Long-Term Post-Acute Care Facilities With No-Cost Solutions From PointClickCare®

Posted by Maureen Hedrick on Apr 15, 2020 11:00:00 AM

 

As the coronavirus (COVID-19) pandemic continues to impact long-term post-acute care (LTPAC) organizations across the U.S., providers need solutions that meet the needs of residents and keep them safe. PointClickCare® now offers three vital solutions designed to streamline workflow and adapt to specialized post-acute care provider requirements amid today’s COVID-19 landscape—all at no cost.

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Topics: Coronavirus, COVID-19, pointclickcare implementation, pointclickcare consulting, pointclickcare consultants

COVID-19 and the Skilled Nursing Facility: Are You Prepared to Handle Higher-Acuity Hospital Overflow Patients?

Posted by Jennifer Leatherbarrow, RN, BSN, RAC-CT, IPCO, QCP, CIC on Apr 15, 2020 7:30:00 AM

 

As the coronavirus (COVID-19) crisis continues to spread throughout the U.S., hospitals in current “hot spots” are facing unprecedented capacity issues—and similar prospects await hospitals in other areas that soon will experience spikes in COVID-19 cases.

When hospitals approach or reach patient capacity, they must turn to outside facilities to handle patient overflows. In this regard, skilled nursing facilities across the country with empty beds are receiving queries from hospital administrators about accepting overflow patients.

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Topics: skilled nursing facility consultants, clinical consulting services, Coronavirus, SNF Consultants, nursing home management consultants, COVID-19

Optimizing Revenue Cycle Management Through Review

Posted by Ken Voll, Director of Revenue Cycle Management on Apr 14, 2020 1:04:30 PM

Optimizing Your LTPAC’s Revenue Cycle Management Process Through Review

All successful long-term post-acute care (LTPAC) providers must generate revenue in order to pursue their mission and grow. For LTPACs, revenues derive from achieving census goals and ultimately, providing a high level of care that enhances client outcomes.

Yet, it’s not enough to just generate revenue; your organization must also collect the revenue while minimizing leakage and potential lost dollars. That’s where revenue cycle management (RCM) comes into play.

RCM is the process to track client revenue from admission/registration through collection of accounts receivable balances. The cycle includes the universe of administrative and clinical functions in an LTPAC organization that contribute to the capture, management and collection of patient service revenue.

If you seek ways to boost profitability and enhance outcomes, optimizing RCM is a prime place to start. In this blog, we explore one strategy to do so: optimize the RCM process through review.

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Topics: Revenue Cycle Management, long term care revenue cycle management, revenue billing cycle, long term care consulting firms, long term care consulting services

Effective April 1, 2020 the ICD-10 code for COVID-19 is U07.1

Posted by Richter on Apr 1, 2020 11:07:53 AM

IMPORTANT: This code is NOT retroactive.  If you have a resident/patient with COVID-9 prior to Aril 1, 2019 please see the guidance below.

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