19https://www.youtube.com/watch?v=SMmmr9rB0vY&t=1s On August 14th, Christina Bruenderman, Director of Denials and Appeals, gave us insight on what we’ve learned since the SNF 5-Claim Probes and what we can expect from CMS going forward. Here’s a quick recap of what was covered—from initial goals, to the current status, and what SNFs should prepare for next. The SNF […]
24https://www.youtube.com/watch?v=TIRXED64phE&t=4s In today’s job market, staying ahead in recruitment isn’t just an advantage—it’s a necessity. That’s why we’re sharing methods we use to select top team members in our upcoming webinar hosted by William Pickhardt, our VP of Talent & Culture. Join us as we dive into proven recruiting methods that we’ve not only researched […]
22https://www.youtube.com/watch?v=zT0M_xPHQd8&t=1s Skilled Nursing Facilities are under increased scrutiny from CMS and Managed Care organizations, especially when it comes to PDPM claims. With 5 Claim Probes, RAC audits, and Managed Care audits becoming more common, the appeal process is more complex than ever. Navigating these challenges and preventing denials requires effective strategies and a deep understanding […]
07https://www.youtube.com/watch?v=vs-zEo_3TXE In the world of skilled nursing facilities, one important measure of success during a Medicare subacute rehab stay is the new discharge function score. This metric evaluates how well residents progress during their stay, comparing their functional abilities on admission to those at discharge. It provides valuable insight into the rehabilitation process, highlighting whether […]
15https://www.youtube.com/watch?v=fadXgz4cabw&t=2s The MDS is a crucial component in the assessment and reimbursement process for skilled nursing facilities. Significant updates were made in 2023, with further changes introduced in 2024, prompting a closer examination of their implications for providers and the reimbursement landscape. In a recent webinar, Kevin Cezat, Director of Clinical Excellence for TMC, provided […]
29https://www.youtube.com/watch?v=0LQ0-_baGsQ Over the past year, we’ve closely monitored the impact of the SNF 5-Claim Probes and have identified key trends and insights from the feedback received from our clients. In this session, we Christina Bruenderman, our Director of Denials & Appeals, will discuss the primary denial trends observed during these probes and provide actionable strategies […]
19https://www.youtube.com/watch?v=09dJnlG9yLg&t=1s It’s our second installment in our webinar series where we delve deeper into Institutional Special Needs Plans (I-SNP). Discover the advantages and potential challenges of selecting an I-SNP partner, explore enrollment strategies tailored for long-stay residents, and gain insights into optimal reimbursement options. We are thrilled to have Shayna Wasser, COO of Guided Care, […]
24https://www.youtube.com/watch?v=Qb5e5ZjXuvE I-SNPs, D-SNPs, and C-SNPs oh my! In part one of our two-part series on I-SNPs, our PAC Partnership Strategist, Mike Wetula, provides a general overview of Medicare Advantage Special Needs Plans, focusing on I-SNP industry drivers and considerations. Between all three special needs plans, enrollment is almost 7 million, which accounts for just over […]
12https://www.youtube.com/watch?v=C0rotYP84WM Our Director of Clinical Excellence, Kevin Cezat, is ready to share how to get your Restorative Program up and running! We will discuss best practices to overcome barriers, audit methods, and ensure compliance in your Restorative Nursing Program. He also has insight on how to utilize Restorative Nursing services to focus on increasing quality […]
27https://www.youtube.com/watch?v=QaIEeBixqOY&t=2s Last week Christina Bruenderman, TMC’s Director of Denials and Appeals, shared the top reasons for PDPM and Managed Care denials and how to prevent them. The CMS SNF 5-Claim Probe and Educate reviews have been ongoing since June of 2023. “Despite the fact that these five-claim probes are going on and there have even […]
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