02https://www.youtube.com/watch?v=K-Ar4FhDQb8 In Investigating Denial Trends Part 1, TMC’s Director of Denials and Appeals, Christina Bruenderman reviewed the popular denials of Section GG, Isolation and Malnutrition. This time we’re focusing on four more denial trends since PDPM: Active Diagnosis, Parenteral/IV Feeding, Swallowing Disorders, and Cognitive Impairment denials. “There’s been a lot of trial and error over […]
23https://www.youtube.com/watch?v=0UT0dCac9Wg PDPM has been in effect for over two years. What denial trends for PDPM claims have we been seeing and how can providers prevent these denials? Christina Bruenderman, TMC’s Director of Denials and Appeals, provides us with an in-depth review of the most common denial trends skilled nursing facilities are facing under PDPM. “I […]
03https://www.youtube.com/watch?v=0ZJk1y3wpjY As the second part of our Quality Measures series, we dive deeper into the long-stay quality measures, the MDS data that drives them, and the exclusions and covariates involved. “CMS utilizes the patient-specific MDS data collected to calculate many of the QI measures they monitor,” mentioned Parkhurst, “but it’s important to realize the Medicare […]
26https://www.youtube.com/watch?v=TIJXzhHjaRo In this two-part series on Quality Measures, we dive deeper into the short-stay and long-stay quality measures, where CMS collects this data, and how to use a CASPER report to determine the next steps in improving quality measure scores. In the first part, we take a look at the short-stay quality measures, the MDS […]
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