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Richter ShareSource Blog

Certifications and Recertifications – the Golden Ticket for Skilled Nursing Services

Posted by Celeste Rininger, RN RAC-CT on Nov 29, 2018 12:06:32 PM

Wouldn’t you hate to work hard all day, every day, only to have your employer tell you that you messed up and the paycheck you just received had to be turned back over to them? That is exactly what could happen to many long-term post-acute care (LTPAC) facilities in the case of an audit due to the status of the certification/recertification for skilled services. 

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Topics: Clinical Consulting

The Proposed Patient-Driven Payment Model (PDPM): 10 Things You Need to Know

Posted by Jennifer Leatherbarrow, RN, BSN, RAC-CT, QCP, CIC on Jun 28, 2018 9:04:00 AM

In April 2018, the Centers for Medicare and Medicaid Services (CMS) threw yet another curveball at (MDS) coordinators and skilled nursing facilities (SNFs) across the country. CMS’ original plan to introduce RCS-1 (resident classification system, the proposed new federal payment system) was overturned and replaced by the now proposed patient driven payment model (PDPM). This new payment model does have similarities to the previous RCS-1, but there were improvements made to increase payment accuracy.

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Topics: Regulatory Changes, News & Events, Clinical Consulting

New Service: Corporate Clinical Navigator – the Extra Set of Hands Your SNF has Always Needed

Posted by Jennifer Leatherbarrow, RN, BSN, RAC-CT, QCP, CIC on Apr 13, 2018 8:01:00 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. We have seen this burden play out across all senior living facilities (SNFs), from independent homes to small and large chains alike.

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Topics: News & Events, Clinical Consulting, QAPI Consulting

Jennifer Leatherbarrow Selected as 2018 Senior Examiner for the AHCA/NCAL National Quality Award Program

Posted by Richter Healthcare Consultants on Apr 12, 2018 9:23:10 AM

Richter Healthcare Consultants, a leading provider of clinical, accounting, implementation and revenue cycle consulting services for long-term post-acute care (LTPAC) organizations, is pleased to announce that Jennifer Leatherbarrow, RN, BSN, RAC-CT, QCP, CIC, has been selected by the American Health Care Association to serve as a 2018 Senior Examiner for the AHCA/NCAL National Quality Award Program. 

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Topics: News & Events, Clinical Consulting, Press Releases

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

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

How to Code Urinary Tract Infections for MDS 3.0 (2018)

Last year brought some significant changes in the way we code a urinary tract infection (UTI) in Section I of the MDS. When you are determining whether to code a UTI, at first glance, it seems pretty straightforward. However there are multiple factors included in the determination of coding. 

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Topics: Clinical Consulting

QAPI Case Study: How a SNF Used QAPI to overcome decline of Activities of Daily Living (ADL) & customer satisfaction

This case study illustrates how one facility discovered how to utilize QAPI processes to overcome their specific ADL and customer satisfaction challenges.

Download our free e-book to find out how QAPI processes can enhance your facility here. 

Sunny Cove Nursing Home was informed by the state ombudsman that they had a reputation for discharging residents who have been unhappy with their care and overall outcomes. To address this, Jane Doe, DON, had her administrative nurses begin an investigation to determine if this allegation was credible.

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Topics: Clinical Consulting, QAPI Consulting