What You Need to Know about a Compliance Gap Analysis

How do you know if you NEED a Compliance Gap Analysis when you might not even know what a compliance gap analysis is? A compliance gap analysis is a detailed review of your company’s compliance health. It reviews your plans and controls within the organization to see if they are maintaining the state of compliance that you desire. To put it simply, if you start with an outline of your current state of compliance, then…

Remote Therapeutic Monitoring (RTM) – Key Component to Hybrid Care

The healthcare industry is always changing, and technology plays a big part in how patients receive care. One way that technology is helping is through Remote Therapeutic Monitoring (RTM). This blog will explore what RTM is, why it matters, and how it can benefit both healthcare providers and patients. What is Remote Therapeutic Monitoring (RTM)? What are the five (5) RTM Current Procedural Terminology (CPT) Codes? ** For CPT codes 98980 and 98981, when we…

Pitfalls of the Patient-Driven Payment Model (PDPM) – Focus on Diagnosis and Surgical Miscoding

Welcome back to our blog series on PDPM! You can find blog #1 here! The Patient-Driven Payment Model (PDPM) is the reimbursement methodology for Medicare Part A that has been implemented for Skilled Nursing Facilities (SNFs) since October 1, 2019. The PDPM was designed to improve the accuracy of Medicare reimbursement to SNFs by basing the payment on the patient’s clinical characteristics and care needs rather than on the therapy minutes provided. To ensure accurate…