A Knowledgeable and Compassionate partner
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
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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