MDS Section GG guide
A Section GG code cheat sheet and a printable worksheet for referral packet review.
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Practical guides for faster SNF referral packet review.
Guides for SNF admissions teams on referral packet review, Medicare Advantage authorization, documentation gaps, high-cost medications, PDPM, and measuring an AdmitScore™ pilot.
All guides
Examples are synthetic or public. These guides are general education, not medical, legal, payer, or reimbursement advice.
PDPM case-mix classification guide
The payment details in the packet: how PT, OT, SLP, Nursing, and NTA classify the same resident.
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Referral packet checklist
Questions admissions teams should verify before accepting a SNF referral.
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SNF claim denial reasons
Common authorization, eligibility, and documentation issues staff should check before the admission decision.
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Medicare Advantage authorization
How to organize Medicare Advantage payer and authorization questions before you commit a bed.
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SNF denial risk review
Payer and documentation red flags to check before admission. A review does not predict or prevent a denial.
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Admissions pilot scorecard
What to measure in a 90-day pilot, and what not to claim from the numbers.
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