Simplify Success
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 and ICD-10 mapping revisions. Download…...
Quality Measures are a major driver of a provider’s 5-star rating. Understanding how these measures affect the 5-star rating and how strategic approaches to QM management can ensure a QM rating that reflects your facility’s quality improvement efforts is an essential skill. This presentation aims to help providers understand the QM effect on the 5-star…...
Traditionally, the PDPM nursing category has been underutilized in its representation of resident unique characteristics. With the elimination of section G in MDS 3.0 v1.18.11 in October 2023, states are moving away from RUG based case mix index rate adjustments to PDPM based systems that generally incorporate only the PDPM nursing category in that calculation.…...
Quality Measure Definitions can be confusing. Each of the technical specifications relies heavily on a working knowledge of basic quality measure construction. This presentation aims to unravel the tangle of definitions in chapter 1 of the Quality Measures User’s guide and applies them to example technical specifications. Participants will come away with a working knowledge…...
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The Long-stay antipsychotic quality measure has been revised. It is essentially a new quality measuring antipsychotic use among the long stay that will rely on MDS and claims data to not only record antipsychotic use but verify excluding diagnose like schizophrenia as well. The 5-star ratings on Care Compare will be updated in January ’26…...
Download course materials here. MDS compliance with the SNF QRP reporting requirements can be challenging. Understanding the SNF QRP IQIES reporting results can also be mysterious. This presentation will unlock the truth behind the reporting requirements and review IQIES reports to help facilities understand how to manage this important SNF program. ...
We’ve been hard at work doing a complete refresh of PDPM Navigator® and we’re excited to show it to you. So excited in fact that we’re going to give you a sneak preview right now. First of all, we’d like to sincerely thank everyone who has downloaded and use PDPM Navigator®! We are incredibly humbled… Continue reading PDPM Navigator® – Version 2 is here!
MDS compliance with the SNF QRP reporting requirements can be challenging. Understanding the SNF QRP IQIES reporting results can also be mysterious. This presentation will unlock the truth behind the reporting requirements and review IQIES reports to help facilities understand how to manage this important SNF program. Download course materials here....
The Speech Language Pathology Component in PDPM can be can be challenging to understand. With so many moving parts it can be difficult to be sure you have captured everything necessary to accurately represent your resident population accurately in the facility PDPM rate. This presentation will unlock the SLP component of PDPM so providers can…...