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Richter ShareSource Blog

Understanding How Functional Score Works Under PDPM

Posted by Jacklyn Brown, RN on May 21, 2019 4:34:42 PM

In 1775, the chant of the day was “The Redcoats are coming! The Redcoats are coming!” Fast-forward to 2019 and in the realm of skilled nursing providers, the popular refrain is “PDPM is coming! PDPM is coming!” 

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Topics: Clinical Consulting, Financial Consulting

Understanding Diagnosis Coding Under the New Payment Driven Patient Care (PDPM) Model

Posted by Jacklyn Brown, RN on Apr 5, 2019 12:11:52 PM

The new Medicare fee-for-service reimbursement model known as Patient Driven Payment Model (PDPM) will drastically change how reimbursement will be determined. In the past, the Resource Utilization Groups (RUG-IV) have determined reimbursement, in which the amount of therapy a resident received played a significant part in the amount of reimbursement the facility received for that resident. Reimbursement will transition away from the volume-based payments of RUG-IV toward the new PDPM model. With PDPM, ICD-10 codes will be a crucial driver for reimbursement. 

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Topics: Clinical Consulting, Financial Consulting

Tips on Choosing Diagnoses for the LTPAC Resident Stay

Posted by Celeste Rininger on Apr 5, 2019 11:42:51 AM

Trepidation, fear and confusion have all been experienced by minimum data set (MDS) coordinators and staff alike at various long-term post-acute care (LTPAC) facilities regarding selecting and/or having to code diagnosis for residents—especially upon admission. Some common questions include: “What do I choose?” “How do I know if it is the correct primary or admitting diagnosis?” “I’m not a coder—how do I know what diagnosis to choose?”

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Topics: Clinical Consulting, Financial Consulting

5 “You-Focused” Tips to Improve Your Organization’s RCM Process

Posted by Candace LaRochelle, Revenue Cycle Manager on Jun 20, 2018 9:01:00 AM

Revenue cycle management (RCM) is so much more than just a financial process. It is about the procedures that enable your long-term post-acute care (LTPAC) organization to maintain a positive financial picture and, in turn, allow you to focus on day-to-day operations and optimal outcomes. It sounds cliché, but that is why communication is key throughout the RCM process. Poor communication at any point can cause a complete breakdown.

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Topics: Revenue Cycle Management, Financial Consulting

Important Changes in Nonprofit Reporting – Learn What You Need to Know

Posted by Liz Lane, CPA, Manager of Accounting Services on May 18, 2018 11:42:26 AM

With a new year underway, it’s important for accounting and finance professionals in all long-term post-acute care (LTPAC) settings to be aware of reporting updates that may have slipped your mind while getting through year end. In 2016, The Financial Accounting Standards Board (FASB) issued a previously proposed update (ASU 2016-14) that will affect nonprofit entities. The time has now come to get familiar with the details of this update, as it is effective for fiscal years beginning after December 2017.

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Topics: Accounting, Financial Consulting

Optimizing Revenue Cycle Workflow in LTPAC Environments – 3 Strategies

Posted by Gina Toigo, MBA, Revenue Cycle Manager on Mar 28, 2018 8:48:00 AM

If your long-term post-acute care (LTPAC) organization’s strategic approach to revenue cycle management doesn’t marry business performance with customer service and outcomes, you could be headed for divorce court.

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Topics: Revenue Cycle Management, Financial Consulting

Is a Contract Controller Right for your LTPAC Organization? Our E-Book Has the Answers

Posted by Allison Wood, Marketing Coordinator on Mar 5, 2018 11:54:58 AM

Accounting and finance professionals are currently in high demand across a wide range of industries, and the long-term post-acute care (LTPAC) industry is no exception. As a result, this makes it difficult for LTPAC providers to attract and retain qualified in-house controllers.

The experience, insights and expertise of a qualified controller are essential to maintaining current quality levels, ensuring profitability, and enabling future growth. So, how do you know if your LTPAC organization is in need of a contract controller? Ask yourself these questions:

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Topics: Accounting, Financial 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