Optimizing Medicare reimbursement in skilled nursing facilities.
Effective utilization review (UR) and clear, complete clinical documentation are essential if a skilled nursing facility (SNF) is to capture charges efficiently and bill appropriately to ensure optimal Medicare reimbursement. Authors Micheletti, Shlala, and Greenfield detail how financial managers can assess UR activities and clinical documentation practices to help improve an SNF's profitability.
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JA
Micheletti
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TJ
Shlala
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Greenfield
D004282:Documentation; D007344:Insurance Claim Reporting; D006278:Medicare / Q000458:organization & administration*; D011340:Problem Solving; D012107:Research Design; D012866:Skilled Nursing Facilities / Q000191:economics*; D013597:Systems Analysis; D014481:United States; D014600:Utilization Review / Q000191:economics / Q000458:organization & administration*