09May
PDPM Denials: Question & Answer Webinar
https://www.youtube.com/watch?v=pDtvaEpLXBc At the end of April, Christina Bruenderman, TMC’s Director of Denials and Appeals, hosted a live question and answer session specifically about the most common PDPM denials. “Since the beginning of PDPM audit audits and denials, even back in 2020, when they first began the very first PDPM denial we received was related to […]
24Feb
Managing Managed Care
https://www.youtube.com/watch?v=lYFT1bsY25A The Medicare Advantage and Medicare replacement companies have worked diligently to increase enrollment. In many areas, the Medicare Advantage population is exceeding those enrolled in traditional Medicare. With that comes the challenge of trying to stay on top of complex managed care plan requirements and reimbursement. “As of 2022, more than 28 million people are […]
23Sep
Managing Reputation through Social Media
https://www.youtube.com/watch?v=qEVo-ig7RpA Social media is everywhere and everyone is on at least one platform. So, who is looking at your social media and what does it have to do with your reputation in the market? Presenter Jacob Addison, Senior Director of Growth, goes into detail on how to present ourselves online in such a way that […]
18Aug
Recruit to Retain: Winning Strategies for Staffing
https://www.youtube.com/watch?v=9j8Gfuy3YAY The greatest challenges we are facing in healthcare are recruitment and retention. Join us for this archived webinar presented by TMC’s Vice President of Organizational Development, Leigh Lachney. “Our staffing strategy has to focus on two areas,” says Lachney, “ensuring our recruitment processes enable us to move nimbly in hiring qualified staff, and then […]
30Jun
Top Two Drivers for Census
https://www.youtube.com/watch?v=tY-0ZrHdXzk What are the top two drivers of census and how can you implement these in your facility? Join us for this archived webinar presented by TMC’s PAC Partnership Strategist, Mike Wetula. Wetula goes into detail about what is happening in the industry regarding occupancy rates, Medicare Advantage enrollment, and growing trends with hospitals and […]
21Jun
The PEPPER Report: Translating Data to Action
https://www.youtube.com/watch?v=j66Lhb2ZQ4I The Program for Evaluating Payment Patterns Electronic Report, aka the PEPPER Report. In this archived webinar, TMC’s Clinical Product Manager, Haley Huckabee, helps define PEPPER target areas for SNFs, discusses how to interpret PEPPER data, and provides examples of action plans to prevent denials. “This is a tool,” explains Huckabee, “that can help you […]
02Jun
Looking Closer at the SNF 2023 Proposed Rule
https://www.youtube.com/watch?v=zXuGSIAdoIo On April 11, 2022, CMS issued a proposed rule that would update Medicare payment policies for the skilled nursing facilities under the Prospective Payment System (SNF PPS) for fiscal year 2023. Join us for this archived webinar presented by TMC’s Denial Prevention Specialist, Laura Gibbs. “Although there were several updates,” says Gibbs, “we’re going […]
02May
Investigating Denial Trends: Part 2
https://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 […]
23Mar
Investigating Denial Trends: Part 1
https://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 […]
03Mar
Sharpening our MDS Skills: Fine-Tuning Long-Stay Quality Measures
https://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 […]
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