Providers regularly make four coding mistakes that draw scrutiny from regulators and auditors, a long-time compliance expert warned Wednesday.
In skilled nursing facilities, precise Minimum Data Set (MDS) documentation is vital for both compliance and optimal reimbursement under PDPM and Medicaid case-mix systems. Even small coding or timing ...
The Centers for Medicare & Medicaid Services (CMS) has finalized updates to MDS 3.0 technical specifications, item sets, and the RAI User’s Manual for FY2026, effective October 1, 2025. These include ...
Anyone working in skilled nursing today understands how much is being asked of providers. Staffing challenges, reimbursement changes, survey pressure and quality expectations all collide at once.