October 2004 www.theracareinc.com

Administrator Quiz! Take our quiz to check your rehab knowledge-- designed especially for administrators!

Important Changes in ICD-9 Coding for Decubitis Ulcers in Effect. Effective October 1, 2004, the ICD-9 code for decubitis ulcers, 707.0, has been replaced with new five-digit, location specific, codes.

Outpatient Observation or Hospital Inpatient Day? More and more skilled nursing facilities are finding it a challenge to determine if a beneficiary has had a 3-day qualifying hospital stay. The most recent obstacle is time spent in outpatient observation at the hospital.

CMS Clarifications for Common Therapy Billing Questions. I frequently field calls from therapy professionals confused regarding a variety of billing issues. In this quarter’s newsletter, I am including two of the common questions I hear and the CMS clarifications specifically answering these questions.

Provide Rehabilitation Services to your Newly Admitted Residents and Increase Chance of Survival by 19%. Changes in reimbursement since 1997 have changed the way some long term care facilities view providing therapy services. Fiscal responsibility has always been important, but changes to the Medicare reimbursement system and the loss of Medicaid co-pay has heightened concern for paying for costly rehabilitation services when benefits end or when residents have no back up insurance.

 

 


Thomas Healthcare Consulting, P.C., provides expertise in the financial, reimbursement, clinical and operational issues encountered by providers in the long-term care and senior housing professions.

Reimbursement Consulting:

  • Medicare & Medicaid reimbursement & cost report preparation
  • Medicare & Medicaid audit representation
  • Medicare PPS services
  • Medicaid case-mix & MDS consulting
  • Profit enhancement
  • Ancillary contract negotiations
  • Corporate compliance
  • Operational accounting & board consultation
  • Indiana Medicaid software

MDS & Clinical Consulting:

  • Quarterly case-mix reviews
  • MDS & data-collection technology evaluations
  • MDS Compliance
  • MDS related policies & procedures
  • MDS accuracy and coding errors
  • MDS & RUG III classification
  • MDS training & education seminars

Robert A. Thomas, CPA
Andrea S. Platt, RN
Thomas Healthcare Consulting, P.C.
Certified Public Accountants & Healthcare Consultants
11988 Fishers Crossing Drive, Suite 200
Fishers, Indiana 46038-2702
Main: 317.577.0101
Fax: 317.577.3389
www.thomashc.com

 

 





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