lwconsulting

Understanding Conditions of Payment vs. Conditions of Participation

The healthcare industry is regulated by a complex framework of mandates that serve to ensure providers comply with all relevant laws, policies and regulations governing their area of specialty. These regulations fall into two categories: Conditions of Payment and Conditions of Participation. Over the next 5 weeks, we will discuss Conditions of Payment and Conditions of Participation as they affect post acute care providers. A Brief Overview of Conditions of Payment vs. Conditions of Participation…

MDS Accuracy Blog: Missed Opportunities and Mishaps Section K – The Most Common Mistakes

In this Minimum Data Set (MDS) Accuracy Blog, we will highlight Sections and items in the MDS to review key misses that the experts at LW Consulting, Inc. (LWCI) have encountered. At LWCI, we thrive in partnering with clients to complete audits or provide consultative services to support concerns. As the experts at LWCI conduct audits, we identify commonalities with coding. Throughout this blog series we will be sharing information on optimal MDS coding, based…

PDPM Snapshot: Answers at a Glance

How do you get  Patient-Driven Payment Model (PDPM) reimbursement? If there is no speech, will the patient forfeit that component? Do you know the base rate? Is the reimbursement less after day 20? These are some of the recent questions that have been asked by those who are working in the Skilled Nursing Facility (SNF) setting. While it is true that the software used by your company should calculate the PDPM reimbursement Case-Mix Index (CMI),…