Why Pre-admission Screening Matters to Post-Acute Care Institutions

Posted by Jason Greis on August 24, 2010 under Articles | Be the First to Comment

The federal government pays more than 40% of all money spent on healthcare in the U.S. and it is focused like never before on managing those costs. Along with reducing already low reimbursement levels, CMS will look to two primary means for cost reduction–utilization and admissions review and reimbursements tied to outcomes. For post-acute care facilities this translates into a single imperative – “admitting the appropriate patient”. Read More...

MedPAC to Recommend Forgoing LTACH Reimbursement Rate Update for 2011 Rate Year: Projects 5.8% Medicare Margin for 2010 Rate Year

Posted by Jason Greis on December 14, 2009 under Articles | Be the First to Comment

On Friday, December 11, 2009, the Medicare Payment Advisory Commission (“MedPAC”) released its draft recommendation to the Secretary of Health and Human Services (“HHS”) to forgo any market basket update to payment rates for long-term acute care hospitals (“LTACH”) for the 2011 rate year (“RY”) (see meeting transcript).  MedPAC found that profit margins on Medicare cases averaged 3.4% during RY 2008 and projected that Medicare margins will increase, on average, to 5.8% in RY 2010 with expected improvements in documentation and coding and recent changes to an updated classification system (i.e. MS-LTC-DRGs). Read More...

Preparing for a Recovery Audit Contractor (RAC) Audit

Posted by Jason Greis on February 1, 2009 under Events | Be the First to Comment

Complimentary Webinar Read More...