Maximizing Reimbursement through the Triple Check Process in Long-Term Care

The Triple Check Process is a critical internal control mechanism utilized in long-term care facilities to ensure the accuracy of billing and compliance with Medicare and other payer requirements. It involves a systematic review of resident records, billing statements, and documentation by an interdisciplinary team prior to submitting claims for reimbursement. The goal is to identify and rectify errors before claims are sent out, thus minimizing denials and maximizing reimbursement. Here are the key components and steps involved in the Triple Check Process:

Meetings
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yelling and screaming-Developing a care plan: Management of Behavioral Symptoms

  1. Assess for triggers: Determine if the yelling and screaming is a result of over-stimulation, boredom, or too little stimulation. Try to eliminate or lessen the cause as much as possible.

  2. Give the resident something to eat or drink, such as hard candy (if not contraindicated by dietary/dysphagia concerns). This can help to redirect the resident's attention and provide sensory stimulation.

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