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FREE PDPM Triple Check Checklist

Posted by Richter on Mar 13, 2020 10:35:40 AM

Skilled nursing facilities (SNFs) must be diligent in their audit processes – particularly Triple Check – in this post-PDPM world to receive maximum reimbursement. To help ensure your Triple Check process is thorough and optimal, Richter is pleased to offer you a FREE download of our industry-tested PDPM Triple Check Checklist.

This checklist includes all the key components of the Triple Check process for your facility, including physician certification; MDS/therapy/skilled nursing review; billing information; and more.


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FREE Proprietary Physician Certification Medicare Part A and C Form

Posted by Richter on Mar 13, 2020 10:26:01 AM

Accurate and comprehensive certification/recertification (cert/recert) is a requirement for reimbursement via guidelines established by the Centers for Medicare and Medicaid Services (CMS). That said, CMS provides specific guidelines for completion without offering a specific form that skilled nursing facilities can use to detail all relevant skilling information.

Richter has created a detailed Physician Certification form that is FREE for you to download and use in your skilled nursing facility. This easy-to-use cert/recert form was developed to help guide you through, and provide space to document specific reasons for each of the potential skilling areas such as Nursing and PT/OT/ST, along with additional items required by regulations such as estimated length of stay, discharge plan and more. 


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Topics: Medicaid Consulting

Medicare Secondary Payer Questionnaire

Posted by Richter on Feb 25, 2020 11:27:30 AM

The Medicare Secondary Payer (MSP) questionnaire is used as a guideline for long-term post-acute care (LTPAC) providers when speaking with residents to determine whether or not Medicare has primary payment responsibilities—i.e., whether another entity bears responsibility for paying before Medicare.

Richter Healthcare Consultants is pleased to offer an MSP questionnaire with questions to ask Medicare beneficiaries upon each inpatient and outpatient admission. As an LTPAC provider, you may use this as a guide to help identify other payers that may be primary to Medicare.

If you choose to use this questionnaire, please note that it was developed to be used in sequence. Instructions are listed after the questions to facilitate transition between questions. The instructions will direct the patient to the next appropriate question to determine MSP situations.


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Six Strategies to Optimize Your LTPAC Revenue Cycle Process

Posted by Richter on Jan 14, 2020 2:42:56 PM

All successful long-term post-acute care (LTPAC) providers must generate revenue in order to pursue their mission and grow. 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 for tracking 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.

Now, we have developed a new e-book, “Six Strategies to Optimize Your LTPAC Revenue Cycle Process,” that offers specialized insight into the industry’s top RCM practices and practical strategies to optimize your RCM function.


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Topics: Revenue Cycle Management

Optimizing 5 Target Areas in Skilled Nursing Facilities – Your Key to Success

Posted by Richter on Oct 15, 2019 10:46:38 AM

Long-term care rules and regulations have been changing at a fast and furious pace over the past few years. Often, changes can happen so quickly that it can be nearly impossible to train staff and update processes in time to stay current. At Richter, we have seen this burden play out across all skilled nursing facilities (SNFs), from independent homes to small and large chains alike.

Now, we have developed a new e-book, “Optimizing 5 Target Areas in Skilled Nursing Facilities – Your Key to Success,” that identifies five high-risk areas:

  1. Minimum data set (MDS) errors
  2. Incident/accident reports and outcomes
  3. Quality Assessment Process Improvement (QAPI) programs
  4. Quality measures and Five-Star rating
  5. Case mix index (CMI) maximization

This e-book provides a high-level overview of each target area—what it is; why it’s important to target; what we at Richter believe should be targeted based on our experience working with SNFs over many years; specific improvement measures for each area; and results of improvement.


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Topics: Clinical Consulting

Targeted Probe and Educate for Hospice Agencies - Your Guide to Developing a Winning Review Strategy

Posted by Donna Berry, Revenue Cycle Manager-Home Health and Hospice on Jun 5, 2018 10:14:49 AM

If you’ve worked in the hospice realm for any length of time, you may be familiar with Additional Development Requests (ADRs). An ADR is a request for medical documentation to ensure proper payment for provided Medicare services.

ADRs have been around for years. In 2017, the Centers for Medicare and Medicaid Services (CMS) introduced a new ADR strategy—Targeted Probe and Educate (TPE). TPE requests are designed to help hospice providers reduce and prevent improper payments, reduce appeals, decrease provider burden, and improve the medical review and education process.

Many common errors, such as a missing physician's signature are easily corrected. Yet, when an agency is “targeted” it is a definite call to action. It must be addressed within the parameters of the TPE guidelines, or the agency could be subject to a host of unpleasant consequences.

Richter Healthcare Consultants works closely with hospice agencies to navigate the complex realm of ADRs and TPE. Now, we have developed a new e-book that synthesizes our expertise with regard to all facets of TPE. In it, we share vital information about TPE specific to hospice agencies—what they are, how to avoid them, and what to do if you receive one.



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Topics: Home Health & Hospice

Contract Controller Services – Expertise, Insight and Performance to Boost Efficiency and Drive Profitability

Posted by Richter on Nov 10, 2017 9:04:53 AM

These days, accounting and finance professionals are in high demand, and that reality has made it increasingly difficult for long-term post-acute care (LTPAC) organizations to attract and retain qualified controllers. This challenge extends across the LTPAC spectrum. Yet smaller LTPAC organizations in particular may find it cost prohibitive to hire a full-time controller.

Richter Healthcare Consultant's new e-book provides a broad snapshot of contract controller services—what they are, why they’re important in LTPAC settings, how they measure up against in-house controllers and what to look for in a contract controller.



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Topics: Accounting

Phase 2 Mega Rule Facility Assessment Tool

Posted by Richter on Aug 25, 2017 12:17:58 PM

Facility Assessment ToolThe Phase 2 roll-out of the Mega Rule Requirements of Participation is approaching quickly. One of the requirements of Phase 2 is the Facility Assessment. The Facility Assessment is a written report including items such as patient population, resources and risk assessments. Skilled nursing facilities will be required to complete the Facility Assessment by November 28, 2017, and annually thereafter.

Richter Healthcare Consultants has put together a template for use by the facility when completing the Facility Assessment.


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Topics: Clinical Consulting

Additional Development Request (ADR) Tracking Log

Posted by Richter on Aug 24, 2017 1:31:45 PM

Nearly every provider has been the recipient of the dreaded Additional Development Request (ADR) letter from a Medicare contractor or managed care organization. ADRs are becoming more and more frequent, so it’s imperative to become savvier in the ways in which you manage them.

Compiling all of the necessary documentation for an ADR can be a daunting task. With our ADR Tracking Log, you will be able to easily prepare yourself for a successful ADR. 


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Topics: Clinical Consulting

Triple Check Checklist

Posted by Richter on Aug 23, 2017 3:28:35 PM

The Triple Check Checklist is an internal audit process that will help ensure your organization's billing accuracy prior to submission of claims to Medicare for review and payment. 

Download our Triple Check Checklist if you are an:

  • Administrator
  • Business Office Manager
  • DON/Medical Records
  • MDS Coordinator
  • Rehabilitation/Therapy Department


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Topics: Clinical Consulting