I. “Learn to Earn” Revenue Enhancers - Become A Reimbursement Expert
Chapter Two: Length of Stay Management with PIE Charting
Average Annual Increase per 100 Beds:
$250,000 - $300,000
Learn how:
- the federal court case Fox v Bowen and Transmittal 262 positively impacted credit for skilled nursing interventions.
- to use PIE charting methods to organize documentation for reimbursement and maximize justification of services
- to ramp down 5 day per week therapy to 3 visits per week to full nursing restorative programming and still have the patients covered by Medicare Part A.
- to shift repetitive therapy exercises and ambulation to restorative aides and still have the patients covered by Part A.
- to preserve private resources by exhausting Medicare Part A’s 100 day benefit.
- to keep patients off Medicaid by exhausting Medicare’s Part A 100 day benefit.
- to break spells of illness for tube feeders, insulin dependency and stage 3 and 4 decubs.
- to improve ADL functioning by 100% by utilizing reimbursable Part A restoratives.
- to get paid by Medicare for Psycho/Social Programming.
- to redirect therapists to Low Rehab, then restorative programming so they have more time for Part B services.
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