How to Calculate PDPM Rates

PDPM got started on October 1, 2019. Before that, we had RUG scores. There’s a big difference between the two and by the time you finish this article in a few minutes you’ll have at least the basics down and you’ll know how much you should be getting paid! PDPM:...

Negotiating Discounts With Single Source Providers

When was the last time you re-negotiated prices with your vendors? Now is a great time! What is the difference between single and sole source providers in long-term care? Single Source Provider: When your long-term care facility is purchasing from one vendor even...

Grow With Civil Money Penalty Reinvestments

If you’re a licensed long term care facility looking to do something amazing in these difficult times, you need to know about CMP reinvestments! You probably already know that the Civil Money Penalty is a monetary penalty CMS may impose against nursing homes for each...

How to Manage Nurse Turnover During Covid

Retaining great CNAs and nurses is difficult, and with COVID, it’s even more difficult. Here are a few ways to keep your staff happy and caring for your residents. The Problem Right now, many nursing homes & assisted living facilities are short staffed and...

Claims Denial Management 101

Claim denials in healthcare are very similar to the check engine light in vehicles. You can ignore it for a while, but if you let it linger too long, it can lead to serious problems for your organization. The formal definition of a medical billing denial is, “the...