Case Study
How To Ensure Coding Accuracy With Data Integrity Audit
Industry Implication Eighty-three percent of MDS submissions have issues that can result in either underpayments to the nursing facility or over-coding, which can trigger a Medicare audit leading to required refunds of monies received (based upon PointRight’s analysis of data from over 300,000 assessments). The Provider Challenge A small, ?ve skilled nursing facility (SNF) chain wanted to perform an evaluation of their MDS process and outcomes t