Providers regularly make four coding mistakes that draw scrutiny from regulators and auditors, a long-time compliance expert warned Wednesday.
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CMS issues MDS 3.0 updates ahead of FY2026 rollout
The Centers for Medicare & Medicaid Services (CMS) has finalized updates to MDS 3.0 technical specifications, item sets, and the RAI User’s Manual for FY2026, effective October 1, 2025. These include ...
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Master MDS accuracy to protect SNF revenue
In skilled nursing facilities, precise Minimum Data Set (MDS) documentation is vital for both compliance and optimal reimbursement under PDPM and Medicaid case-mix systems. Even small coding or timing ...
Anyone working in skilled nursing today understands how much is being asked of providers. Staffing challenges, reimbursement changes, survey pressure and quality expectations all collide at once.
Starting Oct. 1, per diem payments to skilled nursing facilities (SNFs) will be more generous on the first few days of a Medicare beneficiary’s stay, and then drop as the stay continues. That’s one of ...
On January 18, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a Memorandum to all state survey agency directors addressing erroneous schizophrenia coding and increased transparency of ...
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