A Knowledgeable and Compassionate partner
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
With the SNF Value Based Purchasing incentive multiplier set to be impacted by 4 quality measures in FY 2026 and a total of 8 measures by FY 2027, CMS has revised the scoring methodology to accommodate the additional measures. CMS has also posted early look feedback reports to IQIES to prepare providers for this change.…...
The SNF QRP required discharge function score measure is the GG replacement measure for the section G based short stay improvement in function. Since January 2024, CMS has been calculating the new discharge function score on IQIES reports. The new measure is set to affect 5-star ratings in October ’24 and the Value Based Purchasing…...
In quarter 1 of 2025 we will be releasing a new version of PDPM Navigator®! We’re really excited to show it to you. The new version will include ALL the current functionality and some exciting new features. I don’t want to spoil the surprises yet, but I will post a couple of screenshots....
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This area of the app will include industry news, Broad River Rehab announcements and upcoming events.
CMS has made changes to the MDS item set that will take effect in the next two fiscal years. Some changes are minor while some of the changes have been designed to align data capture in the SNF with the health equity initiatives embedded in the National Quality strategy. SNFs will be gathering more Social…...
Dash filling SNF QRP sensitive items on the MDS can have a negative effect on the financial outcomes of a facility. Understanding what is required to avoid QRP sensitive item documentation errors is a must. This presentation will help participants understand how to be sure they are compliant with QRP item documentation. Download course materials…...
It’s finally here! The FY 2025 SNF PPS final rule has been posted. There’s lots to unpack from rate updates and PDPM ICD-10 changes to updates to the SNF VBP and QRP programs. This discussion will help us prepare for the updates that will take effect on October 1. Download course materials here. You know,…...
