Archive for the ‘State Watch Pages’ Category

New Watch Pages Released!

Monday, December 17th, 2012 by Natasha

In CareWatch® over the weekend,  eHealth Data Solutions added new Watch pages under Reimbursement Analysis in the Reports menu: RUG 66 Watch and State Watch for Ohio and Virginia.

RUG 66 Watch shows how many Medicare days were paid for each RUG during the time period selected. This information can be used for estimating revenue and planning staffing.

State Watch pages concentrating on Medicaid reimbursement were added for Ohio and Virginia and already included Iowa, Kansas and Texas. For these states, users can find approximate reimbursement for the residents in a facility on a given day using the Point in Time Roster, or for a given date range using the Time-Weighted Roster. Ohio users will also see a Case Mix Index Report showing the average Medicaid case mix for each quarter at a facility, as well as semi-annual and annual case mix index averages.

For more information on these new pages and others, simply click the “Help” button at the top of that page.

Recent Updates

Wednesday, February 8th, 2012 by Natasha

You may have noticed our frequent maintenance notices; we are busy updating our products to make them more useful for you. In addition to behind-the-scenes work making everything run more smoothly, here are some recent changes:

Fewer Suspended Assessments

Assessments used to suspend for any change in Medicaid number (MDS field A0700), forcing you to make corrections that were not necessary. Now, assessments will no longer suspend in the following cases of natural progression:

FROM no number (N) TO pending (+)

FROM no number (N) TO a number

FROM pending (+) TO a number

Texas Watch

Texas Watch is the newest State Watch page to be released in addition to the Iowa and Kansas Watch pages. Our State Watch pages are developed to allow you to approximate reimbursement based on your own state’s Medicaid rules.

To get to the State Watch page, go to Reports, Reimbursement Analysis, State Watch and then Point in Time Resident Roster.

The page will open to the Point in Time roster, which approximates reimbursement for the residents in a facility on a given day (using a given rate level for Texas).  It provides you with a detailed breakdown of the residents in your facility with regard to RUG classifications, case mix index, reimbursement dollars and payer source on a specific single day. Also included are a summary table of RUG distribution totals and a table of averages by payer source, both separated into hospice, non-hospice and total.

Facility, organization and resident names displayed in this image are fictitious. The information in this image does not and should not be construed to represent actual people, facilities and organizations. The resident names shown are fictitious, randomly selected and do not represent actual people.

From the Point in Time roster, you also have the option to view the Time Weighted roster, which approximates reimbursement for the residents in a facility during a given date range. It displays detailed information regarding assessments used in determining case mix and per diem rates, total number of days, RUG dollars and payer source for each resident, as well as weighted averages for those fields for each resident.

The RUG Potential for Texas has also been updated.

RUG Payment Analysis Potential

Saturday, June 5th, 2010 by Eve

For those of you who live in states that calculate Medicaid reimbursement using RUG 34, we have developed a new set of payment analysis pages that allow you to see the impact of possible missed opportunities and inaccurate/incomplete documentation using your own data.

And for those of you who use RUG 44 or 66, we have great news you too – development is on schedule for these reports to be available October 1, 2010. As we make the successful transition to MDS 3.0, our comprehensive CareWatch solution includes these reports so that you can use your own data to see the potential impact of inaccurate or incomplete documentation that may result in missed service opportunities for your residents and missed reimbursement for your facility.

These tools are designed to match documentation with your clinical record and highlight possible inconsistencies which may affect both your care planning and RUG scores. Because of the glimpse “into the future” that these reports can provide, we use the term “potential” to describe them, which explains the titles, “Time-Weighted Resident RUG 34 Potential” and “Point in Time RUG 34 Potential.”

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