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Long-term care skilled services : how to document for proper medicare reimbursement.

Author: Elizabeth Malzahn-Mclaren
Publisher: [Place of publication not identified] : Hcpro Inc, 2015.
Edition/Format:   eBook : Document : EnglishView all editions and formats
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Genre/Form: Electronic books
Additional Physical Format: Print version:
(OCoLC)903284937
Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Elizabeth Malzahn-Mclaren
ISBN: 9781556452628 1556452624
OCLC Number: 969381162
Description: 1 online resource

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To reduce your facility's risk of unwanted outcomes and ensure proper Medicare reimbursement for the type and number of skilled services provided, it's essential to submit claims appropriately and in accordance with the Centers for Medicare & Medicaid Services' (CMS) skilled services regulations. Don't miss out on Medicare reimbursement or put your facility at risk for fraudulent penalty charges and monetary recoupment!Long-Term Care Skilled Services: How to Document for Proper Medicare Reimbursement breaks down CMS' skilled services requirements and explains how facilities can best manage the daily operations that affect skilled coverage and necessary documentation. This book provides information for all staff members who play a role in determining and documenting skilled services and includes:Easy-to-understand explanations of complex CMS rules and regulations regarding skilled servicesA topic-driven format enabling readers to research specific questions and conveniently and efficiently obtain complete and descriptive answersExamples of documentation for skilled servicesGuidance to help facilities receive the benefits and reimbursement they deserveDownloadable formsThis book will help SNFs:Identify common problems and challenges associated with skilled services and gain a better understanding of how to handle the major pain pointsProperly assess skilled services under the MDS 3.0Increase skilled census and improve their facility's reputation with the support of the entire staffAvoid under- and overpayments from Medicare with easy-to-understand explanations of complex rules and regulationsProvide necessary skilled services to each resident through a complete understanding of eligibility requirementsAccurately document skilled services using proven, time-saving solutions for proper Medicare reimbursementTABLE OF CONTENTSHow to properly document for therapy and skilled nursing servicesCauses medical necessity denials and potentially subsequent auditsImpact and necessity of benefit exhaust claims and no-pay claimsCertification/recertification completionMedicare rules and regulations under the MDS 3.0Strategies to maintain skilled censusRelationship to diagnosis coding and usage (e.g., V codes)Communication between therapy and nursing.

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