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Claims audit will affect every nursing home starting June 5

Published: May 30, 2023

Every US nursing home will be subject to an audit starting June 5 as regulators try to better assess and root out improper payments.

Source: mcknights.com

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Stacy BakerAlicia CantinieriProgram For Evaluating Payment Patterns Electronic ReportZimmet Healthcare ServicesHuman ServicesCenters For Medicare Medicaid ServicesMedicaid ServicesMedicare Administrative ContractorsMedicare PartComprehensive Error Rate TestingPatient Driven PaymentZimmet HealthcareTriple CheckEvaluating Payment Patterns Electronic Report

Achoo! Springtime is PEPPER season

Published: April 27, 2023

The sound of spring is in the air and irritants abound. The sniffling, sneezing and coughing is always a telltale sign of a change in seasons.  April

Source: mcknights.com

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Centers For Medicare Medicaid ServicesHealth InsuranceHealth Insurance Prospective Payment SystemHealth Quality InstituteProgram For Evaluating Payment Patterns Electronic ReportEvaluating Payment Patterns Electronic ReportMedicare Administrative ContractorMedicaid ServicesPhysical TherapyOccupational Therapy Case MixHigh Physical TherapySpeech Language Pathology Case MixHigh Speech Language Pathology Case MixNursing Case MixHigh Nursing Case MixDay EpisodesHealth Insurance ClaimQuality AssurancePerformance Improvement

PEPPER Report: Target areas for rehab

Published: May 26, 2022

Renee Kinder It’s been a little over a month since the Q4FY21 release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns

Source: mcknights.com

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Health Insurance Prospective Payment SystemProgram For Evaluating Payment Patterns Electronic ReportOffice Of InspectorHealth Care Quality Information SystemsGovernment Accountability OfficeSkilled Nursing FacilityEvaluating Payment Patterns Electronic ReportMedicare PartProvider EnrollmentOwnership SystemAccess RolesSecurity AdministratorsInspector GeneralAffordable Care ActMedicare Administrative ContractorUtilization CodesPhysical TherapyOccupational Therapy Case MixSpeech Language Pathology Case Mix