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...
Investigating Denial Trends: Part 2
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...
Investigating Denial Trends: Part 1
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...
Sharpening our MDS Skills: Fine-Tuning Long-Stay Quality Measures
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...
Sharpening our MDS Skills: Fine-Tuning Short-Stay Quality Measures
In this two-part series on Quality Measures, we dive deeper into the short-stay and long-stay quality measures, where CMS collects this data, and how to...