Adjustments (LUPA), optimal number of visits based on progress, Prospective Payment Plan (PPS), and Outcome Based Quality...
Business Development Relationship list. Knows, understands and effectively implements the Corporate Case Management and PPS...
development programs. Aide in area specific RCA’s (Root Cause Analysis) and PPS (Practical Problem Solving) when applicable...
. Participating in the daily Medicare Prospective Pay System (PPS) Interdisciplinary Team Meeting (ITM). Establishing and maintaining...
improvement initiatives by developing and implementing Kaizen methodologies and the Prysmian Performance System (PPS). This role...
of experience in a LTC/SNF/AL/MC setting highly preferred Excellent knowledge of Case-Mix, the Federal Medicare PPS process...
of current Medicare PPS guidelines and regulations related to inpatient rehab compliance and IRF-PAI management. Knowledge...
to Medicare. Assists with education of staff regarding PPS and FIMS/Quality Indicators (QIs). Assists with monitoring...
care performance. Monitor Medi-Cal, Medicare, PPS, capitated payment arrangements, managed care contracts, and third-party... reimbursement methodologies to maximize reimbursement and ensure compliance. Oversees annual PPS reconciliation processes...
Administration regarding Program and Provider Support per the CHCO PPS model. · Evaluates and oversees appropriate GME education...