
PDPM: Food (and Reimbursement) on the Table for SNFs
The implementation of PDPM in October is fast approaching and as we await the proposed rule, skilled nursing facility owners and operators are diligently preparing. One interesting bit of datum that I have been following closely surrounds the complexity of...
Sights and Sounds from the NY ACHCA Convention
Language Fundamentals had the pleasure of participating in the 50th NY ACHCA Chapter convention this week at its new venue, the Resort World Catskill. Since the FY 2019 CMS Final Rule has been finalized, it means the Patient-Driven Payment Model (PDPM) is coming and...
Medical Diagnosis vs. Treatment Diagnosis – The Guide to Getting it Right in the SNF
Selecting accurate medical and treatment diagnosis codes are incredibly important when evaluating and documenting a plan of care for patients in the SNF setting. This is critical for both billing purposes, as well as accurately developing a patient’s profile and...Is There a Right Way to Overhaul Medicaid Reimbursement for SNFs?
The early part of each calendar year is synonymous with state budget battles, where projected Medicaid cuts to Skilled Nursing Facilities always seem to be a hot button issue. On one hand, Skilled Nursing Providers are already paid far below cost in virtually every...