Harmony Healthcare Blog

Encoding Period and the MDS. The Importance of a Triple Check System

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Wed, May 30, 2012

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Edited by Kris Mastrangelo

 Volume 2

Solid processes related to the Encoding Period must be developed and consistently implemented. The Encoding Period is the seven days after the completion of the MDS during which the facility staff should ready the assessment for submission. Using this period to conduct audits for accuracy is key to ensuring appropriate reimbursement, QMs, care planning and survey impacts of the MDS. Unfortunately, many nursing home clinicians are unaware of this period or unaware of the intent of it. Additionally, a solid triple check process to ensure that all documentation and coverage requirements are met is needed prior to the facility billing. Federal oversight of practices related to Medicare Part A is greater than ever. Procedures and protocols to ensure revenue insulation are critical to the financial viability of the facility. Diligent use of the Encoding Period and a solid triple check system are but two examples of processes needed to manage the complexities of Prospective Payment for maximizing and insulating revenue.

Complete Guide to Successfully Avoiding Denied Claims

Tags: Medicare Part A, MDS 3.0, Reimbursement, PPS, Quality Measures, Care Planning

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