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Perspectives

3 Ways to Improve Your Billing Process and Avoid Recovery Audits

by ExcelasJuly 6, 2017
Recovery auditors typically look for discrepancies in the nursing facility’s reimbursement requests. And while recovery audit decisions are generally appealable, it’s better to avoid an audit than to appeal one. Fortunately, there are a few proactive steps to take prior to finalizing billing that may help avoid audits—or allow a facility to successfully weather closer scrutiny. [More]

Issues in LTC | Medical Records | Regulatory

ARE YOU USING THE CORRECT TERMINOLOGY FOR PRESSURE INJURIES?

by ExcelasNovember 22, 2016
The National Pressure Ulcer Advisory Panel (NPUAP), a not-for-profit organization of pressure injury experts, recently made changes to the terminology and staging system used for the identification and assessment of pressure ulcers. [More]

Issues in LTC | Legal Nurse | Long-term Care | Medical Records | Medical Review

EMR: DETAILS TO WATCH FOR WHEN EXTRACTING RECORDS

by ExcelasOctober 11, 2016
Excelas has retrieved more than 600,000 pages of medical records from a variety of EMR systems and for a variety of projects and has observed some common trouble areas. Be aware of these six top issues when pulling electronic records. [More]

HIPAA | Issues in LTC | Long-term Care | Medical Records

NURSING HOME EVICTION AND THE DEFENSIBLE MEDICAL RECORD

by ExcelasMay 24, 2016
While federal law provides these bases for eviction, facilities must carefully document in the clinical record the rationale and decision-making process in situations one through three above. Proper documentation helps to manage the risks associated with involuntary discharge, as well as ensure that discharges are legally appropriate and defensible. [More]

Issues in LTC | Long-term Care | Medical Records

RAC Audits: The Calm Before the Storm

by ExcelasMay 23, 2013
The Center for Medicare and Medicaid Services (CMS) recently announced that healthcare providers would begin to see a decline in the number of additional documentation requests (ADRs) they receive, beginning in June 2013. There is one implication and one opportunity to be found in this announcement. [More]

Long-term Care | Medical Records | Medical Review | Regulatory

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