Published December 20, 2019 Consider these common scenarios and how your team might better address these areas of potential missed opportunity: Section I: Check Box vs I8000 (ICD-10 code) Not coding diagnoses in the proper location can impact nursing, NTA and SLP components of PDPM For example, respiratory failure should be coded both in the… Read more
Published November 7, 2019 CMS has vehemently stated that providers are responsible for producing the same functional outcomes under PDPM as they did under the RUG payment model. Keeping that in mind, there is certainly opportunity to shift traditional restorative program structure while maintaining optimal functional and quality outcomes to avoid financial audits and quality… Read more
Published August 20, 2019 So, now that you’ve mastered the ins and outs of PDPM, what’s next? You’ve learned the PDPM basics (i.e., changes to the MDS, Case Mix Components, determining the HIPPS code, etc.), but what comes next? Here’s a couple things to think about: Take a look at your current policies and procedures.… Read more
Published July 17, 2019 CMS has provided notifications to facilities that were determined to be out of compliance with the quality reporting requirements for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP), which may result in a 2% reduction that will affect their FY 2020 Annual Payment Update (APU). Non-compliance notifications have been sent… Read more
Published July 17, 2019 Proposed Rule Requirements for Long-Term Care Facilities: Changes may be coming! On July 16, 2019, CMS announced a proposed rule, “Medicare & Medicaid Programs; Requirements for Long-Term Care Facilities: Regulatory Provisions to Promote Efficiency and Transparency” (CMS-3347-P) that could bring some welcomed updates to a number of Phase 1 & 2… Read more
Published March 8, 2019 Prepare yourselves! The stars will be realigning next month based on the announcement from CMS this week. Not only will survey results be reinstated (they have been on hold since last November) but there is sure to be more shifting based on changes made to the quality measures and staffing methodologies.… Read more
Published January 29, 2019 Earlier this month, CMS added the SNF QRP Provider Threshold Report to the QRP reports available in the QIES system. Using this report, providers will have more detail and clarity to the status of the required data needed for meeting APU compliance. If the SNF completes 100% of required data elements… Read more
