Where to Find?
Deadlines
Know your facility!
Medicaid
Financial Review for Admission
100

Where do you find your current collections for Private Pay? 

Log In to PCC- Click Admin- Collections- Under Templates- Choose Private- Refresh

100

What day of the month should statements be completed? 

20th of every month- or business day before if the 20th lands on weekend/holiday.

100

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

100

How do you calculate estimated CP when you have a resident that Medicaid Pending? 

Income- $50


100

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! 

200

Where do you find the collection Process?  

Go to Insiders- Document Library - Billing Finance- A/R Collection and Forms- AR Collection Process

200

What day should we start making collection phone calls and sending the phone calls follow up letters?  

10th of the month

200

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. 

200

What amount does HHS deem too high in an account to qualify for Medicaid? 

Over $2000 

200

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. 

300

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


300

How often should Admins be meeting with their BOMS regarding bad debt?  

Admins should me meeting at a MINIMUM of weekly. 
300

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

300

Tell me 3 "legal" ways to spend down! 

1st- Payment to Facility

Recliner

Wheelchair

TV

Irrevocable Burial Trust

Personal needs-cl

Mini Refrigerator


300

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 

400

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. 

400

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. 


400

How often should your BOM post payments? 

Payments should be posted EVERY day. 

400

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. 

400

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



500

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. 

500
After How many days do you send Collection Letter #1? Collection #2? 

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. 

500

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

500

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! 

500

What things should you look for on residents under the age of 65 not on Medicaid? 

have they been deemed disabled? if not, are they in the process or have they been denied. 


This will keep people until they turn 65 or are deemed disabled.