Dec 17, 2020NEW COVID ICD-10 Coding Updates Effective Jan 1, 2021QRM’s Clinical Reimbursement Specialist, Megan Ussery, RN, RAC-CT has provided Clarification surrounding CMS’ new additions to COVID...
Nov 24, 2020FY 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, 2020Backing Up Section GG for PDPM - A Medical Review PerspectiveFrom QRM’s office of Medical Review Author: Ashley Duggan, OTR, RAC-CT, Vice President of Medical Review and Clinical Compliance With...
Apr 28, 2020Questions to Ask Prior to Skilling in Place, Without a 3-Day Qualifying Hospital StayAs we move forward utilizing waivers in our efforts to contain the spread of COVID and preserve acute care capacity, we realize our...
Mar 3, 2020CMS Update: PDPM Variable Per Diem Calculation Errors - ResolutionFeb 27th, CMS issued the below statement in their MLN Newsletter (link included below) SNF PDPM Claims Issue: Skilled Nursing Facility...
Feb 29, 2020Outcomes Matter! Representing True Baseline and DC – determining the future of PDPM changes and moreMark 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, 2019Special Edition - CMS released the preliminary PDPM final rule on Medicare’s birthday, July 30th54 years ago President Lyndon B. Johnson signed Medicare into law. The final rule will be published in the Federal Register on August...