Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT

Most recent articles by Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT

Ask the payment expert … about pending removal of Section G
Ask the payment expert … about pending removal of Section G
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Dec 05, 2022

What is the impact of Section G being removed from the MDS?

Ask the payment expert …. about the total nurse staffing measure
Ask the payment expert …. about the total nurse staffing measure
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Nov 11, 2022

Q: What is the Skilled Nursing Facility Value-Based Payment Total Nurse Staffing Measure?

Ask the payment expert: Can we use a 3-day stay waiver more than once for same patient?
Ask the payment expert: Can we use a 3-day stay waiver more than once for same patient?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Sep 11, 2022

Q: Can the 3-Day Qualifying Hospital Stay waiver be used more than once for the same person?

Ask the payment expert: How can we avoid denials?
Ask the payment expert: How can we avoid denials?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Jul 01, 2022

Q: Are denials related to Physician’s Certifications common, and how can we avoid them?

Ask the payment expert: What can we do to maintain CMI and Medicare reimbursement?
Ask the payment expert: What can we do to maintain CMI and Medicare reimbursement?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
May 01, 2022

Due to staffing shortages, we’ve had to pull our MDS nurses to provide direct care, and assessments are getting behind. What can we do to maintain CMI and Medicare reimbursement?

Ask the payment expert: How should we appropriately query the physician to support diagnosis coding for PDPM reimbursement?
Ask the payment expert: How should we appropriately query the physician to support diagnosis coding...
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Apr 01, 2022

Q: How should we appropriately query the physician to support diagnosis coding for PDPM reimbursement?

Ask the payment expert: Is there a penalty if a SNF resident receives more than 25% of his or her therapy in a concurrent or group setting?
Ask the payment expert: Is there a penalty if a SNF resident receives more than 25% of his or her therapy...
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Mar 01, 2022

Is there a penalty if a SNF resident receives more than 25% of his or her therapy in a concurrent or group setting?

Ask the payment expert
Ask the payment expert
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Dec 01, 2021

What can we expect with targeted probe-and-educate programs resuming?

Ask the payment expert: What can we do to ensure we’re being reimbursed accurately?
Ask the payment expert: What can we do to ensure we’re being reimbursed accurately?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Oct 01, 2021

We’re seeing some Medicare Advantage plans change to payment by “levels.” What can we do to ensure we’re being reimbursed accurately?

Ask the payment expert: Can you explain the Interrupted Stay and how it impacts Medicare billing?
Ask the payment expert: Can you explain the Interrupted Stay and how it impacts Medicare billing?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Sep 01, 2021

Can you explain the Interrupted Stay and how it impacts Medicare billing?