tci Medicare Compliance & Reimbursement - 2004 Issue 17

Long-Term Care: Flawed MDS Software Leading SNFs To Federal Audits

What SNFs' computers say about RUG categories could come back to haunt them.Sure, a skilled nursing facility's billing office knows all about Resource Utilization Groups, but problems with the billing office computer could land the SNF in a heap of trouble with the feds. Hot news: At the SNF/Long-Term Care Open Door Forum Mar. 30, Centers for Medicare & Medicaid Services officials dropped this potential bomb: They're on to the fact that certain software vendors have modified their MDS product in ways that may wind up bumping a resident up from the RUG with the highest case-mix...

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