Harmony Healthcare Blog

New York Medicaid Case Mix: 14 Tips for Accurate Reimbursement

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Fri, May 13, 2016

Understanding the criteria and components of RUG Leveling (53 levels) and Categorization is imperative for accurate and appropriate reimbursement under the New York Case Mix reimbursement system. Protocols and defined processes are essential for success and require implementation throughout the year, (not just during the case mix "window").  Ongoing MDS coding oversight and refinements are even more important given the regulatory and reimbursement changes impacting quality measures and the ultimate crescendo of value based purchasing. The following tips may help you in preparing your documentation to properly reflect all necessary data to support the appropriate payment level.

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Topics: Medicaid, Case Mix, New York State

The Results: New York State Nursing Home Surveillance Audit

Posted by The Harmony Team on Fri, Apr 22, 2016

The Office of the New York State Comptroller recently released the results of an audit entitled Nursing Home Surveillance. The purpose of the audit was to determine whether the Department of Health consistently follows federal and state regulations and procedures for conducting nursing home surveys, and whether the survey process is effective in improving the quality of care and safety in nursing homes.

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Topics: New York State, Nursing Home Surveillance Audit, audit

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