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{"id":10528,"date":"2012-11-29T21:56:07","date_gmt":"2012-11-29T21:56:07","guid":{"rendered":"http:\/\/www.seonewswire.net\/2012\/11\/advantage-long-term-and-post-acute-care-3\/"},"modified":"2012-11-29T21:56:07","modified_gmt":"2012-11-29T21:56:07","slug":"advantage-long-term-and-post-acute-care-3","status":"publish","type":"post","link":"http:\/\/www.seonewswire.net\/2012\/11\/advantage-long-term-and-post-acute-care-3\/","title":{"rendered":"ADVANTAGE – Long Term and Post Acute Care"},"content":{"rendered":"

Billing Practices of Skilled Nursing Facilities Under Scrutiny<\/strong>
\nby Michael Rosen<\/p>\n

This week, the OIG released the results of a study just completed on the billing practices ofskilled nursing facilities to Medicare. The study located a stunning amount of “inaccurate,medically unnecessary, and fraudulent claims.” The main focus of the study was to focus onbilling practices for therapy provided skilled nursing facilities. The study located over a billiondollars in inappropriate billing in 2009 alone.\u00a0The recommendations of the study included:
\nIncrease and expand reviews of SNF claims,
\nUse its Fraud Prevention System to identify SNFs that are billing for higher paying RUGs,
\nMonitor compliance with new therapy assessments,
\nChange the current method for determining how much therapy is needed to ensure appropriatepayments,
\nImprove the accuracy of MDS items, and
\nFollow up on the SNFs that billed in error.
\nSkilled nursing facilities are certain to come under more scrutiny regarding billing practices forMedicare services. Make certain your organization has procedures in place to (more…)<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Billing Practices of Skilled Nursing Facilities Under Scrutiny by Michael Rosen This week, the OIG released the results of a study just completed on the billing practices ofskilled nursing facilities to Medicare. The study located a stunning amount of “inaccurate,medically…<\/span><\/p>\n

Read more ›<\/a><\/div>\n

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