What Is Triple Check?
The Triple Check Process Is an Internal Audit That Ensures Billing Accuracy and Compliance with Regulatory Guidelines Prior to the Submission of Claims to...
The Triple Check Process is an internal audit that ensures billing accuracy and compliance with regulatory guidelines prior to the submission of claims to Medicare/Managed Care providers for payment.
What is Triple Check in Nursing homes?
The triple check process is a long-standing system used at Skilled Nursing Facilities (SNFs) across the country to ensure compliance in Medicare billing. Specifically, to assure that the RUG Level accurately billed for therapy minutes and that everything matches between the UB-04, the MDS and therapy logs.
Do Minutes matter with PDPM?
Impact of Zero: Minutes don't matter– value and outcomes matter! In contrast to RUG-IV, PDPM will no longer use therapy minutes to determine reimbursement. The Math is evident here: Volume of therapy or minutes have “Zero” impact on the case-mix-adjusted component rates and therefore, no effect on reimbursement.
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