I. “Learn to Earn” Revenue Enhancers - Become A Reimbursement Expert

Chapter Four: Case Management Systems, The Case Manager and Case Management Teams

Average Annual Increase per 100 Beds:
$250,000 - $300,000
(When combined with Caregiver Software Management Systems)

Learn:

• the documentation requirements for Medicare, Medicaid and Managed Care.
• how to use P.I.E. Charting to enhance Medicare Part A, B, C and D as well as Medicaid Case Mix Scores.
• how your physicians can bill under the 13 RVU Reimbursement Schedule so they can perform their services better and get paid for them.
• how to use comprehensive assessment (102 problem triggers) rather than the minimum assessment (18 problem triggers) done on the current MDS to improve your Medicare stays by 100%.
• how to use a care plan software program and library for knowing what Medicare is to pay for on each occurrence to prevent premature discharge from Part A.
• how to hold your Intermediary and/or Managed Care Company accountable to the law and regulations rather than their guidelines…..this is based on the court case Fox v Bowen and Transmittal 262.