--- title: Kris B Harmony's Blog (4) description: PDPM Calculator and PDPM Analytics for Medicare Part A and Medicaid Case Mix Index Reimbursement. (4) --- ** [![Artboard 1@4x-100 (1)](https://56632.fs1.hubspotusercontent-na1.net/hub/56632/hubfs/Artboard%201@4x-100%20(1).jpg?width=1514&height=594&name=Artboard%201@4x-100%20(1).jpg "Artboard 1@4x-100 (1)")](https://krisbharmony.com/) # Blog [ August 1, 2012 ## Coordinating Complex Medicare Part A Patient Care in a SNF Managing the care of the patient on a daily basis is very challenging in the SNF. Medicare Part A patients who tend to be somewhat more medically complex and sicker than some of the other patients ... Read more *→* ](https://krisbharmony.com/blog/coordinating-complex-medicare-part-a-patient-care-in-a-snf) [ July 27, 2012 ## SNF Denial Management Surely you have heard that there are “denials” now in the skilled care world, but do you know what this means? There are more and more auditing agencies popping up every day, from ACO to ZPIC, and ... Read more *→* ](https://krisbharmony.com/blog/snf-denial-management) [ July 25, 2012 ## Rehab Case Management for Case Mix Successful case management for Case Mix involves the coding of the accurate minutes of care provided by therapy on the MDS for those patients seen under Medicare Part B. There is a significant ... Read more *→* ](https://krisbharmony.com/blog/rehab-case-management-for-case-mix) [ July 11, 2012 ## Medicare Part A Skilling and MORE! Today we will be discussing the Medicare meeting, otherwise known as the beneficiary review meeting. This meeting is set up so that the interdisciplinary team can discuss the clinical status of a ... Read more *→* ](https://krisbharmony.com/blog/beneficiary-review-meeting-medicare-part-a-skilling-and-more) [ October 16, 2011 ## New Final Rule FY 2012 Therapy Documentation Requirements In the Final Rule FY2012, CMS provided clarification on therapy documentation and expectations in regards to changes in therapy treatment plans. Harmony recommends facilities are vigilant when ... Read more *→* ](https://krisbharmony.com/blog/new-final-rule-fy-2012-therapy-documentation-requirements) [ October 14, 2011 ## How to Manage the COT OMRA Effective October 1st, a COT OMRA will be required for patients classified into a RUG-IV therapy category whenever the intensity of therapy changes to such a degree it no longer reflects the RUG-IV ... Read more *→* ](https://krisbharmony.com/blog/how-to-manage-the-cot-omra) [ September 9, 2011 ## MDS 3.0 RAI Manual Changes The Resident Assessment Instrument (RAI) User's Manual has been updated to reflect changes that take effect on October 1, 2011, the manual version is 1.07 (V1.07). Providers should take extra care to ... Read more *→* ](https://krisbharmony.com/blog/mds-3-0-rai-manual-changes) [ August 11, 2011 ## CMS Posts Revised ABN Beneficiary Notification Initiative: The information regarding the use of an ABN is according to sections 50.3 - ABN Scope and 50.5 - ABN Triggering Events - from Chapter 30 of the Medicare Claims ... Read more *→* ](https://krisbharmony.com/blog/cms-posts-revised-abn) [ June 14, 2011 ## CMS Gets Aggressive Against Fraud and Abuse Per the Centers for Medicare & Medicaid Services (CMS) announcement, aggressive new steps to find and prevent waste, fraud and abuse in Medicare are underway. CMS states they are working closer ... Read more *→* ](https://krisbharmony.com/blog/cms-gets-aggressive-against-fraud-and-abuse) [ March 23, 2011 ## What The OIG is Saying About Medicare Part A SNF Billing Read more *→* ](https://krisbharmony.com/blog/what-the-oig-is-saying-about-medicare-part-a-snf-billing) [ June 23, 2010 ## Medicare Presumption of Coverage Medicare Presumption of Coverage: Under SNF PPS, beneficiaries who are admitted or readmitted directly to an SNF after a qualifying hospital stay are considered to meet the level of care requirements ... Read more *→* ](https://krisbharmony.com/blog/medicare-presumption-of-coverage) [ June 23, 2010 ## ICD 9 Coding ICD 9 CODING Q: Where can I find a list of commonly used PT ICD-9 codes that have been deleted as of January 1? A: ICD 9 code changes take effect October 1 of each year. CMS publishes these changes ... Read more *→* ](https://krisbharmony.com/blog/icd-9-coding) [ June 21, 2010 ## Rehabilitation Services Impact on Medicaid Case Mix Impact Rehabilitation Services Impact Medicaid Case Mix: Rehabilitation Therapists are integral members of the interdisciplinary team as is their participation in the process of resident assessment. ... Read more *→* ](https://krisbharmony.com/blog/rehabilitation-services-impact-on-medicaid-case-mix) [ June 13, 2010 ## Medicare Part B Therapy Program Development Part II The first thing to do when starting your Medicare Part B Therapy Program Development is making sure your team is properly therapy screening. Therapy screening is essential in identifying patients for ... Read more *→* ](https://krisbharmony.com/blog/medicare-part-b-therapy-program-development-part-ii) [ June 2, 2010 ## Medicare ADR's and RAC Audits Additional Development Requests When a Medicare contractor (MAC) cannot make a coverage or coding determination from the information that has been provided on a claim and its attachments, then the ... 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