Medicare PPS for Skilled Nursing Facilities

Feeley & Driscoll can provide hospital-based Skilled Nursing Facilities (SNFs) and freestanding Medicare certified nursing facilities with a wide range of services that will assist them in analyzing the reimbursement and operational impact of Medicare PPS.  By considering various strategic alternatives and establishing internal systems to improve both operational and financial performance, most facilities will be able to successfully navigate the four-year transition to SNF PPS.  At Feeley & Driscoll we have found that many SNFs does not have the necessary systems or resources to support:

• Capturing or tracking costs by resident or resident type
• Managing the MDS process and appropriate classification of residents
• Aggressively managing the ancillary utilization
• Negotiating optimal contract terms with ancillary suppliers
• Managing multiple invoices from supplier handling delays in cash flow caused by late invoices
• Handling delays in cash flow caused by the MDS assessment window

Feeley & Driscoll, PCs staff has extensive financial, operational and regulatory experience in skilled nursing and hospital settings.  We will review all aspects of a facility’s financial performance and clinical and billing operations that are impacted by the change to SNF PPS.  Based on our analysis we will suggest various scenarios and make specific recommendations about strategies and systems for managing under PS.  On request, we will assist in contract negations, coding and billing training, general PPS training and MDS and billing audits.  Often a PPS preparation review will identify other opportunities for improvement in operational and financial performance such as:

• Staffing Levels and Mix
• Accounts Receivable Management
• Clinical Pathways/Protocols
• Operational Outsourcing
• In-house Billing Assistance
• Our staff is knowledgeable and skilled in assisting facilities in these areas. 

To contact Feeley & Driscoll for more information about preparing for Medicare SNF PPS, please click here or call us at 1 (800) 392-6192.