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Skilled nursing operators are under increasing pressure to improve reimbursement accuracy while simultaneously driving quality outcomes. One multi-facility operator in Wisconsin recently demonstrated how a structured, disciplined approach can deliver measurable results - fast. Partnering with Engage Consulting, the organization implemented an intensive weekly management process focused on three critical areas: accurate reimbursement , comprehensive acuity capture , and Qualit

Targeted Probe and Educate (TPE) audits are designed to identify billing and documentation vulnerabilities, but for providers, they often feel overwhelming. Tight timelines, complex documentation requirements, and the financial risk tied to unfavorable determinations make TPE audits one of the most high-stakes reviews organizations face.  What many providers underestimate is what happens after a failed TPE review. An unfavorable outcome does not just result in denials. It in

CMS updated Care Compare on February 5, 2026, to reflect values for the new hybrid antipsychotic quality measure. However, when reviewing the January 2026 Five-Star Preview Reports today compared to when they were first released, the data presentation and scoring methodology appear to have changed. What the Five-Star Report Initially Showed When CMS first released the Five-Star Preview Reports on January 21, 2026, the new hybrid antipsychotic quality measure displayed “N/A” v

Targeted Probe and Educate (TPE) audits can be one of the most stressful experiences for post-acute providers. Tight timelines, extensive documentation requests, and the risk of payment denial place significant pressure on clinical, MDS, and billing teams. The good news is that TPE audits are highly manageable when organizations take a proactive, organized approach to information gathering and submission. Below are some best practices for preparing documentation, avoiding co