Where to Find?
Where do you find your current collections for Private Pay?
Log In to PCC- Click Admin- Collections- Under Templates- Choose Private- Refresh
What day of the month should statements be completed?
20th of every month- or business day before if the 20th lands on weekend/holiday.
Who is your top Debt in your building?
(not including pending Write off)
NO PEAKING
Atlantic-Virginia Brosam- $63100.70
Avoca - Arthur Pederson $198463.00
Bedford - Robert Doughtry- $42297.65 (UME)
Cherokee-James Meyer- $57955.69
Corning- Donald Hood III- $54116.90 (UME)
Correctionville-Samson Nowell- $86189.33
Creston-George Foster- $75405.47 (Legal Status)
Dunlap- Reldy Rold-$59118.30
Fonda- Giles Norlin- $36638.32
Kingsley-Lillian Carlson- $163315.12
Lyon-Randy Frerichs- $9183.60
Odebolt- Patricia Christianson- $47229.25
Panora-Joseph Graney- $51216.02
Sibley- Irma Preuss- $14878.00
Stratford- Pamela Hibbs- $57427.86
Westwood- Nam Nguyen- $105144.39
Total- $1121679.60
How do you calculate estimated CP when you have a resident that Medicaid Pending?
Income- $50
What should be completed prior to entry for a financial review on ALL admission?
Customer service calls, not only discussing SNF. But all levels of care and costs.
You should be using the resources upon entry as a tool to help you!
Where do you find the collection Process?
Go to Insiders- Document Library - Billing Finance- A/R Collection and Forms- AR Collection Process
What day should we start making collection phone calls and sending the phone calls follow up letters?
10th of the month
What % is added to your previous month's revenue, to create your cash goal for the current month?
10% plus last months revenue will equal your current cash goal.
What amount does HHS deem too high in an account to qualify for Medicaid?
Over $2000
What is the difference between IHWP and IHWP ME?
IHWP- has SNF benefits only. no LTC coverage.
IHWP- ME- Will qualify for LTC if you submit the transfer of assets paperwork.
Where do you find your Weekly AR Meeting Long and Medicaid Log
Facility Shared Drive- AR Weekly Meeting Form- AR weekly meeting Form and Medicaid Application Log- Both are saved separately
How often should Admins be meeting with their BOMS regarding bad debt?
What is your current Semi Private Room Rate?
Atlantic-$305.00
Avoca -$299.00
Bedford - $265.00
Cherokee-$277.00
Corning- $271.00
Correctionville-$291.00
Creston-$293.00
Dunlap- $296.00
Fonda- $291.00
Kingsley-$291.00
Lyon-$277.00
Odebolt-$297.00
Panora-$312.00
Sibley-$276.00
Stratford-$305.00
Westwood-$311.00
Tell me 3 "legal" ways to spend down!
1st- Payment to Facility
Recliner
Wheelchair
TV
Irrevocable Burial Trust
Personal needs-cl
Mini Refrigerator
Who is responsible for completing the LOC form in your facility?
Business office Manager will fill out demographics and Cover letter, once complete by people below they will upload to IMPA
Clinical needs to fill out the nursing level information, Print Med list and ICD 10 list
Physician must sign it
In Primeview, how do you find your buildings outstanding accounts?
Log into Primeview- Click on Cash Tab- Click on AR- Click on Outstanding Accounts- Change Payer to Private, Private LS, UME and Medicaid Pending.
How often should you update the Medicaid log/AR meeting long and send to your RFC?
Both Logs should updated weekly at a minimum and sent to your RFC weekly.
How often should your BOM post payments?
Payments should be posted EVERY day.
What does a facility need to submit to Medicaid for approval?
LOC, Cover sheet, LOC signed by Physician with Medical Diagnosis and Medication List, then uploaded to IMPA
CAR, Completed in AssessmentPro, EVERYTIME a payer changes.
What things should a prompt a financial denial?
House in another state and unwilling to sell
Resident has more than one home/property and is unwilling to sell down to one
Resident has multiple vehicles and is unwilling to pay
During customer service call the state they will not pay
What Report does Liz Wahlberg send out Weekly? and what is the drive it is shared on called?
Cash Report- Share Point- Cash Reports- Year-Find Appropriate Week.
Collection Letter # 1 should be sent at 25 days past due
Collection letter #2 should be sent at 45 past due and should be sent certified mail.
What is your Buildings current DSO? (since January)
As of Janurary 2024
Atlantic- 70.08
Avoca - 225.98
Bedford - 82.29
Cherokee-166.66
Corning-42.02
Correctionville- 135.47
Creston-35.68
Dunlap-164.23
Fonda- 42.25
Kingsley-142.17
Lyon-9.57
Odebolt-46.93
Panora-119.80
Sibley-7.24
Stratford-142.50
Westwood-312.79
Can a resident have a life insurance policy and still qualify for Medicaid? (Explain)
Yes, but it must be Irrevocable. Meaning they can not cash it in!
What things should you look for on residents under the age of 65 not on Medicaid?
This will keep people until they turn 65 or are deemed disabled.