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DEPARTMENT OF HEALTH SERVICES Division of Medicaid ServicesSTATE OF WISCONSINF01812 (08/2022)WISCONSIN MEDICAID PROGRAM 2022 NURSING HOME COST REPORT SCHEDULE 1: Facility & Preparer Information Macros
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How to fill out nursing home acuity-based billing

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How to fill out nursing home acuity-based billing

01
Gather all necessary information including patient demographics, medical history, and acuity level.
02
Consult with the facility's billing department to understand their specific acuity-based billing requirements.
03
Fill out the appropriate forms with accurate and detailed information.
04
Review the completed forms for accuracy and completeness before submitting them for billing.
05
Follow up with the billing department to ensure that the acuity-based billing process is completed successfully.

Who needs nursing home acuity-based billing?

01
Nursing homes, long-term care facilities, and other healthcare providers who need to accurately bill for the level of care provided to patients.
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Nursing home acuity-based billing is a payment system that adjusts reimbursement rates based on the level of care needed by residents, reflecting their medical complexity and needs.
Nursing homes that provide skilled nursing care services and receive reimbursement from Medicare and Medicaid are required to file nursing home acuity-based billing.
To fill out nursing home acuity-based billing, facilities must complete specific forms provided by state and federal authorities detailing resident care levels, services provided, and any other required information about each resident's acuity.
The purpose of nursing home acuity-based billing is to ensure that nursing homes receive appropriate compensation based on the acuity levels of their residents, thereby promoting adequate resources for quality care.
The information that must be reported includes resident demographics, level of care required, specific services provided, and any clinical assessments that help determine acuity levels.
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