NEW COVID ICD-10 Coding Updates Effective Jan 1, 2021
QRM’s Clinical Reimbursement Specialist, Megan Ussery, RN, RAC-CT has provided Clarification surrounding CMS’ new additions to COVID...
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- Nov 24, 2020
FY 2021 PDPM Rate Updates (effective 10/1/2020) - (Bonus Rate Calculator Included)
October invoicing marks the beginning of FY 2021. CMS has made several adjustments impacting accurate rate calculations - which go into...
- Sep 10, 2020
Backing Up Section GG for PDPM - A Medical Review Perspective
From QRM’s office of Medical Review Author: Ashley Duggan, OTR, RAC-CT, Vice President of Medical Review and Clinical Compliance With...
- Apr 28, 2020
Questions to Ask Prior to Skilling in Place, Without a 3-Day Qualifying Hospital Stay
As we move forward utilizing waivers in our efforts to contain the spread of COVID and preserve acute care capacity, we realize our...
- Mar 3, 2020
CMS Update: PDPM Variable Per Diem Calculation Errors - Resolution
Feb 27th, CMS issued the below statement in their MLN Newsletter (link included below) SNF PDPM Claims Issue: Skilled Nursing Facility...
- Feb 29, 2020
Outcomes Matter! Representing True Baseline and DC – determining the future of PDPM changes and more
Mark Parkinson, President of AHCA recently shared that from all indications, it is too soon for CMS to determine the impact of PDPM in...
- Jul 30, 2019
Special Edition - CMS released the preliminary PDPM final rule on Medicare’s birthday, July 30th
54 years ago President Lyndon B. Johnson signed Medicare into law. The final rule will be published in the Federal Register on August...