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Understanding what is considered a skilled level of care from the nursing services perspective is an important IDT skill. This Direct Nursing Skilled Services and Indirect Nursing Skilled Services training will review the skilled nursing definition per Medicare Benefit Policy Manual, documentation to support skilled care, and an overview of indirect and direct examples. Download…...
It’s August and CMS has released the FY 2026 final rule. Much is anticipated about what CMS has up its sleeve for the new year. In this presentation BRR will unpack what CMS has finalized related to the payment rates, wage index, the PDPM, SNF QRP and SNF VBP programs. Download course materials here....
Understanding and mastering consolidated billing principles are essential skills for nursing facility operators. There are many pitfalls that must be avoided in order to be sure that the services provided are billed to the appropriate payer. Often, facilities end up paying for items and services for which others should be billing. This educational offering will…...
When a nursing facility finds itself under a denial of payment for new admissions (DPNA), navigating the regulatory environment can be tricky. This presentation will guide providers through the DPNA landscape and help to clear the air on this often confusing criteria. Download course materials here....
PDPM, depression indicators identified with this assessment can make the difference in whether a resident receives the proper care and adequate reimbursement to pay for it. In this presentation we will breakdown the components of the PHQ 2 to 9 assessment, how to properly administer it, how accurate scoring works, and discuss the IDT approach…...
Physician certification and recertification requirements are a condition for billing Medicare Part A in the SNF setting. Facilities can run afoul of the regulatory requirements when these are not completed correctly. This course will review of the Physician certification and recertification requirements in a SNF setting. Download the course materials....
Since October 1, 2023, Section GG has become the only place in the MDS to record a resident’s functional status. This data has a significant impact on state and federal reimbursement, quality measurement and is the standard data used to measure patient outcomes across the post-acute care landscape. This presentation will help participants understand the…...
Spring is here, and CMS has released the FY 2026 proposed rule. Much is anticipated about what CMS has up its sleeve for the new year. In this presentation BRR will unpack the CMS proposals related to the payment rates, wage index, the PDPM, SNF QRP and SNF VBP programs. Download course materials here....
The primary diagnosis is a powerful element of the Patient Driven Payment Model. It not only drives reimbursement but quality measurement as well. Understanding the coding guidance for MDS item I0020B and the residual effects of the appropriate application of the regulatory requirements for this item is a must for accurate reimbursement and appropriate quality…...
I’m fortunate. I work for a forward-thinking company. We buy data from CMS and analyze it. We aggregate it. We look for trends. We study our own performance and look at how other people do it. We argue about what it means and how to get better at getting better. We have long debates about… Continue reading The Parallel Healthcare Universe