Lw-consult.com

Patient-Driven Groupings Model (PDGM) -Primary Diagnosis

WEBThe Patient-Driven Groupings Model (PDGM) is the Home Health Prospective Payment System (HH PPS) used for reimbursement that went into effect on …

Actived: 7 days ago

URL: https://lw-consult.com/patient-driven-groupings-model-pdgm-primary-diagnosis/

Understanding PDPM and the Interim Payment Assessment

WEBAnother CMS option under PDPM is to implement the Interim Payment Assessment (IPA). The IPA may be completed by providers in order to report a change …

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Prior Level of Function: Reconsiderations in Today’s Healthcare …

WEBA sore between 85-100 is usually identified with someone who can live at home alone or in independent living. A score below 60 is indicative of the need for 24 …

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A Guide to Developing Resident Baseline Care Plans

WEBThe intent of F655 Baseline Care Plans is intended to promote continuity of care and communication among nursing home staff, increase resident safety, and …

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Practical Guidance for Health Care Governing Boards on …

WEBA health care governing board has a variety of responsibilities and roles that are key to the compliance program. These responsibilities ensure that the organization …

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F-Tags in Review: F561 Self Determination and Other Sneaky Tags

WEBThe self-determination regulation should be common sense and a “no-brainer” when it comes to inspections. If person-centered care is truly a part of your …

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Understanding the Baseline Care Plan and Summary

WEBPer the regulation at §483.21 (a) (1), The facility must develop and implement a baseline care plan for each resident that includes the instructions needed to provide …

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Understanding Conditions of Payment vs. Conditions of …

WEBThe healthcare industry is regulated by a complex framework of mandates that serve to ensure providers comply with all relevant laws, policies and regulations …

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A Malnutrition Diagnosis: From the Hospital to the SNF

WEBThe Answer to Understanding the Importance of Coding Accuracy LW Consulting, Inc. (LWCI) strives to help clients with a variety of questions, queries, and …

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Understanding the July 2023 Regulatory Changes for PA SNFs

WEBPennsylvania will be rolling out the newly revised Centers for Medicare & Medicaid Services (CMS) regulatory changes which will begin being enforced on July 1, …

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10 Factors that Could Trigger an Audit of Your Medical Records

WEBWith the ever-increasing litigious environment and mandatory Congressional oversight of commercial and government payers, physician supporting documentation …

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What You Need to Know Before Providing Outpatient Therapy at a …

WEBTypical steps for obtaining a new Medicare number as an outpatient rehabilitation agency include: Completing the CMS enrollment forms for either a primary …

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Annual Wellness Visit: Audit Reveals EMR Template Vulnerability …

WEBBackground The Centers for Medicare & Medicaid Services (CMS) provides eligible Medicare recipients preventive services. In the first year following the recipient’s …

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Understanding PDPM and HIPPS Coding LW Consulting, Inc.

WEBUnderstanding PDPM and HIPPS Coding. Health Insurance Prospective Payment System rate codes, known as HIPPS codes, represent specific sets of patient …

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Why Do IRFs Still Need to Know About 1135 Waivers

WEBOn March 13, 2020, CMS issued blanket waivers that included new directives for IRFs, other Post-Acute Care (PAC) entities, and medical settings. The waivers …

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Claim Denials: Steps to Writing an Effective Appeal Letter

WEBStep 2: Demonstrate why the distinct skills of every health care professional involved in the care of the patient were essential. Step 3: Depict the onset status, …

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Understanding the Different Types of Medicare Secondary Payers …

WEB15 – Workers Compensation. 19 – Workers Compensation Medicare Set-Aside Arrangements (WCMSA) 41 – Black Lung. 42 – Veteran’s Administration (VA) 43 …

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MDS Accuracy Blog: Missed Opportunities and Mishaps Section K

WEBIn this Minimum Data Set (MDS) Accuracy Blog, we will highlight Sections and items in the MDS to review key misses that the experts at LW Consulting, Inc. …

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MDS Accuracy: Importance of a Timely and Complete BIMS

WEBImportance of a Timely Interview. The BIMS score is derived from Section C, items C0200-C0500 of the MDS. According to the regulations outlined in the Resident …

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