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Evaluating CMS's Groundbreaking IRF Settlement

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People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support.

Evaluating CMS's Groundbreaking IRF Settlement

Earlier this year, CMS announced it would accept Expressions of Interests (EOI) for a settlement option targeted towards certain IRF's appeals pending a various levels of review. The settlement amount for most appealed claims is 69% - the highest amount ever offered.

The timeframe for inpatient rehabilitation facilities to submit an EOI for a settlement option with CMS is ending. This FAQ sheet will help your team understand the characteristics of eligible appeals and the CMS settlement process.

Download the FAQs to learn:

  • The characteristics of an eligible appeal
  • The steps and timeframe of the settlement process
  • The tiers of settlement offered by CMS

Download and share this valuable resource with your team!

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Revenue Cycle Management

Recorded Oct 23, 2018

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Presenter

Robert W. Markette, Jr.

Robert W. Markette, Jr., CHC, HCS-C has focused his practice on representing home health, hospice, private duty and DME providers in all aspects of their operations. Robert has developed a reputation for understanding the operational, compliance and legal/regulatory issues facing homecare providers. He serves on both the Board of Medical Specialty Coding and Compliance and the Board of the Association for Home Care Compliance. Robert drafted the Second Edition of the Homecare Administrator's Field Guide and the Home Health Patient Rights Policy and Procedure Manual. He has been awarded the HCS-C credential signifying his knowledge and experience in home care compliance and is also certified in health care compliance by the Health Care Compliance Board. Robert is widely recognized for his expertise in this space and is a frequent speaker on home health, hospice and private duty matters across the country.

Presenter

Presenter: Jill Dyer, BSN, RN, HCS-D, HCS-O

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly.

Presenter

Presenter: Jill Dyer, BSN, RN, HCS-D, HCS-O

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly.

Presenter

Presenter: Jill Dyer, BSN, RN, HCS-D, HCS-O

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly.

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About WellSky

WellSky is a technology company advancing human wellness worldwide. Our software and professional services address the continuum of health and social care — helping businesses, organizations, and communities solve tough challenges, improve collaboration for growth, and achieve better outcomes through predictive insights. People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care. Informed by more than 30 years of providing software and expertise, our purpose is to empower care heroes with technology for good, so that together, we can realize care’s potential and maintain a healthy, flourishing world.


About WellSky

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.