MDS/ Medicare – Insight + Training + Resources

 

Keeping up-to-date on new regulatory processes can be an overwhelming and difficult task. Changes continue to occur at a rapid pace especially for MDS Coordinators making support and training a priority to achieve quality, person-centered care.

 

CMS UPDATE:
On April 11, 2022, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule that would update Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2023.
In addition, the proposed rule includes proposals for the SNF Quality Reporting Program (QRP) and the SNF Value-Based Program (VBP) for FY 2023 and future years.
CMS is requesting comments by June 10, 2022.
Pathway Health professionals are ready to help keep your organization moving forward. Contact us to learn more. 

Professionals are Ready to Support Your Team

Reimbursement Response Services

Pathway Health has specifically designed targeted clinical reimbursement and revenue cycle management resources and training. We assist agencies across the nation to ensure they meet compliance and operational goals.
Our consultants help analyze outcomes measurements, appropriate coding practices, MDS and Medicare criterion for positive outcomes.
  • Reimbursement and Revenue Optimization – Customized reimbursement assessment; MDS / RAI / ADL process improvement; Medicare compliance and process improvement; billing and revenue cycle improvement; RAC/ZPIC response assistance; denied claims assistance; Medicare and Medicaid process reviews; PDPM process review
  • SNF Value-Based Purchasing and alternative payment preparation and assistance
  • ICD-10 – Coding audits, process review and ongoing training
  • Data and Quality Analysis – operation analysis, SNF Performance Measure operational readiness assessment; Quality Measures and Five-Star performance review
  • Managed Care – process reviews and training
  • Restorative program
  • Financial audit response
  • Risk mitigation services and expertise

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Virtual Classroom

On-Demand Training

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MDS/Medicare Resources + Tools

Medicare ResourceMedicare Reimbursement Resource Toolkit

Designed for skilled nursing facility leaders and MDS/Medicare team members in mind. This need-to-have resource manual provides sample forms, policies, tools and resources to support your Medicare processes.
More than 25 subject areas are included with corresponding templates and interactive tools, ready for your use!

 

 

 

 


What Clients Are Saying:

“The experience with Pathway Health was a catalyst for improving operational outcomes, staff’s performance and ultimately improving resident care. I would recommend using Pathway’s services to anyone wishing to improve their services in any way.”

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