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 the Patient Health Questionnaire-9
Ask the payment expert… about the Patient Health Questionnaire-9
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Dec 07, 2023

A:The Patient Health Questionnaire-9, or PHQ-2 to 9, is a widely used screening tool for depression, and in the context of nursing homes and PDPM it takes on even greater importance. This nine-question...

Ask the payment expert … about appealing Medicare repayments
Ask the payment expert … about appealing Medicare repayments
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Nov 07, 2023

Q: My facility is going through a Medicare UPIC review and received several denials followed by a demand letter requiring repayment. What are options for appealing and paying?

Ask the payment expert … about payment reductions
Ask the payment expert … about payment reductions
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Oct 10, 2023

Q: How do I know what determines my 2% annual payment reduction? I’ve received a non-compliance letter citing MDS reporting requirements, but it doesn’t provide details.

Ask the payment expert … about MDS payment implications
Ask the payment expert … about MDS payment implications
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Sep 12, 2023

Q: Are changes to the Patient Driven Payment Model expected with the revised MDS in October?

Ask the payment expert … about insufficient documentation
Ask the payment expert … about insufficient documentation
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Jul 07, 2023

Insufficient Documentation is the top SNF error leading to improper payment. What does this mean?

Ask the payment expert … about an LPN’s MDS role
Ask the payment expert … about an LPN’s MDS role
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Jun 09, 2023

Q: We’ve been trying to fill an open MDS position and have an LPN applicant who would be great in the role. Can an LPN fulfill requirements and sign assessments?

Ask the payment expert … about VBP incentive pay
Ask the payment expert … about VBP incentive pay
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
May 03, 2023

How should we manage SNF value-based purchasing measures to receive incentive payments?

Ask the payment expert … about overpayments
Ask the payment expert … about overpayments
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Apr 10, 2023

Are the timeframes for investigating and repaying Medicare overpayments changing?

Ask the payment expert about … consequences of MDS dashes
Ask the payment expert about … consequences of MDS dashes
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Mar 12, 2023

Q: What are the concerns or consequences of dashing items on the MDS?

Ask the payment expert … can we dispute a deficiency?
Ask the payment expert … can we dispute a deficiency?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Jan 25, 2023

CMS imposed a CMP for a deficiency that we do not agree with. Is there any recourse?