The enhanced provider specific file for PDPM released by CMS has given us an unusual opportunity to study and understand things going on in our industry in a much more timely manner than we’re accustomed to. Let’s hope this trend continues. In this post we’re going to be looking at the new functional scoring technique… Continue reading PDPM – Section GG Functional Scores By State (& County!)
Author: Joe Eaton
PDPM – Nursing Categories
CMS has released a provider specific impact analysis for PDPM using 2017 data. There’s a lot to analyze and that takes time. However, one interesting question we can answer with the data is something along the lines of “What would happen if all the therapy minutes disappeared?” (Note: Since CMS still refers to the nursing… Continue reading PDPM – Nursing Categories
PDPM Calculator Available!
We’ve just released the PDPM Calculator! (We’ve also retired the RCS-1 Calculator since that proposal is effectively retired. You can still access that calculator here if you want to compare or you’re feeling nostalgic.) Why build a PDPM calculator when CMS released their own Excel-based grouper tool? We felt like the Excel tool was a… Continue reading PDPM Calculator Available!
Test Your Jimmo v. Sebelius Knowledge
It’s been more than 5 years since the landmark Jimmo V Sebelius case. That case is arguably the most important thing to happen to therapy delivery in skilled nursing during the last decade. However, it seems like no one is talking about it and many aren’t even aware of what it means. Let’s hit some… Continue reading Test Your Jimmo v. Sebelius Knowledge
Latest ADL Scoring By State
The Pepper reports give us a glimpse into trends in Medicaid Part A in skilled nursing facilities. Sometimes you have to do a little summarizing yourself to figure out what you want to know. What I wanted to know was “Which states report the highest ADL scores?” Pepper had the data but it needed a… Continue reading Latest ADL Scoring By State
2 Reasons You Should be More Concerned about Casemix than RCS-1 if You’re In Tennessee
Tennessee is in a unique position right now. Everyone is trying to figure out how RCS-1 will change Medicare Part A. However at the same time Tennessee is also preparing to transition to case-mix for Medicaid. RCS-1 can tend to look more important because a lot more people are talking about it but here are… Continue reading 2 Reasons You Should be More Concerned about Casemix than RCS-1 if You’re In Tennessee
Q1 2018 North Carolina Medicaid
“You can’t manage what you can’t measure” The latest data from the state of North Carolina has been published. We spend considerable time carefully studying the data here at Broad River. It’s like a second report card that we get every quarter. (Obviously the most important report card comes from the customer.) This data tells… Continue reading Q1 2018 North Carolina Medicaid
MPPR Calculator
We’ve just released an MPPR calculator that you can use to see how much difference MPPR makes to your Part B billing. The rest of this post is going to be about features and how to use the tool. If you’d prefer to get right to it, the calculator is here. You can also get… Continue reading MPPR Calculator
2018 NCHCFA Annual Convention & Expo
View fullsize We’ll be attending the 2018 North Carolina Health Care Association Annual Convention and Expo January 28-31 in Greensboro! If you’re attending the show please stop by our booth and say hello. The event is at the Sheraton Greensboro Hotel at Four Seasons and the Joseph Koury Convention Center. Find out more here or sign… Continue reading 2018 NCHCFA Annual Convention & Expo
MPPR: A Hidden Expense
Although MPPR has been around since 2011, a lot of people are surprised just how big a role it plays in Part B reimbursement in skilled nursing. It’s a tool CMS has used to justify paying less for Part B therapy delivered in skilled nursing facilities. Here’s how. How Part B Used to Work Back in the… Continue reading MPPR: A Hidden Expense