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No pain, no gain–not true. 4 ways to deal with claims rejections pain

By Rand Johnson on Thu, Feb 11, 2016 @ 02:00 PM

My office is in my home. Occasionally, my wife will step up behind my chair as I am working on the computer and start to massage the back of my neck. Ow! All of a sudden I am aware of a throbbing pain I didn’t know I had. At first it REALLY hurts. In a short time, though, I feel the pent-up tension and throbbing dissipate and I begin to relax. At that point she stops, giving me a reassuring pat on the back. Released, I return to my task, but then I feel the tension begin to return and I have to ask myself, “What’s causing this?” Likewise, sometimes providers get so caught up in the busy-ness of business, they are not aware of some persistent pains which can impact effectiveness and even the bottom line. 


Topics: claims rejections, billing staff

The impact of the IMPACT Act on providers in 2016 – Be aware

By Rand Johnson on Tue, Feb 09, 2016 @ 02:00 PM

If you missed the opportunity to listen in on last week’s CMS Open Door Forum, Understanding the IMPACT Act, you may be at risk of missing some key deadlines in 2016. A little background may be needed. The Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 requires that CMS “make interoperable (Italics added) standardized patient assessment and quality measures data, and data on resource use and other measures to allow for the exchange of data among PAC (post-acute care) and other providers to facilitate coordinated care and improved outcomes.” Loosely translated, that means that the standardized assessment data generated by Long-Term Care Hospitals (LCDS), Skilled Nursing Facilities (MDS), Home Health Agencies (OASIS), and Inpatient Rehabilitation Facilities (IRF-PAI – my favorite acronym du jour) must be interoperable, that is, they must be able to talk to each other.


3 unique ways to shorten revenue cycles

By Rand Johnson on Thu, Feb 04, 2016 @ 07:20 PM

LTPAC CFOs in the 21st century have to be concerned about many things. But in reality, much of what CFOs do revolves around getting paid on time in the amounts anticipated. Perhaps paying attention to the not-so-obvious factors influencing payment may be worth investigating.


Topics: revenue cycle management, AR managers, Medicare Secondary Payer, claims processing costs, job satisfaction, Life Plan Community

Go with the Pros - which KPIs matter most to LTPAC providers

By Rand Johnson on Tue, Feb 02, 2016 @ 06:50 PM

You can’t go wrong with Business Intelligence (BI). But if you are new to the game, knowing which Key Performance Indicators (KPIs) are more useful to seasoned LTPAC BI Pros, those who were early adopters, may be useful. From start-ups to well-established providers, executives and managers have selected what they consider to be the most important KPIs for their operations. Let’s look.


Topics: business intelligence, dashboard, BI, KPIs, LTPAC providers, multi-facility operations, primeVIEW, scalability

5 ways to empower your AR team through knowledge

By Rand Johnson on Thu, Jan 28, 2016 @ 10:00 AM

“To know is to grow.” Yes, as I pondered this week’s blog topic, this quote came to mind – probably not original, but it is apropos and kind of catchy. As the manager of an accounts receivable team at the corporate, region, or facility level, your job is to help your team members grow in knowledge, skill sets, and ultimately productivity. For over ten years, Prime Care Technologies has asserted that knowledge is the power to succeed and to grow. The seed of knowledge is data converted to useful information and transformed into knowledge. Let’s explore five ways you can help your team’s productivity and success through knowledge.


Topics: admissions team, resident liability, collect resident liability, staff appreciation, ar team, business office staff, Medicaid application, accounts receivable team

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