CMS has upped the game when it comes to SNF Value-Based Purchasing. By 2028 there will be 8 measures that facilities will have to perform well on in order to retain some or all of the 2% withhold. Providers will need to understand measures as well as the scoring method and health equity adjustment. This…...
Author: Joel VanEaton
Get to know Your Confidential Feedback Reports
More than half of the FY 2024 SNF PPS Final Rule was dedicated to the SNF QRP and VBP programs. A significant component of both of these programs now spotlights Social Risk Factors and Health Equity. The VBP program has a health equity bonus structure and CMS recently released Health Equity confidential feedback reports for…...
Regulatory Reminder!
It’s time for another Regulatory Reminder. There is a lot going on so let’s get started. Item 1. CMS has released an item set change table supplement document along with MDS 3.0 v.1.8.11 v.6. there were several data set corrections. It would be worth your time to download the supplement to familiarize yourself with the latest data set.…...
RAC-CT Class Announcement!
Broad River Rehab is offering an AAPACN RAC-CT certification class available to BRR Staff and Customers. This course will be taught by Joel VanEaton, EVP of PAC Regulatory Affairs and Education with Broad River Rehab and AAPACN certified Master Teacher. This class will be provided in a virtual format so all classes will be provided…...
Significant Change in Status: Updates to the Quality Measures, Staffing and 5-star Without Section G
With section G’s removal from MDS 3.0 v1.18.11, the residual implications are far reaching. On Sept. 20th. CMS released QSO-23-21-NH describing these significant changes. Along with this memo, CMS released updated versions of the 5-Star User’s guide and the Quality Measures User’s Manual detailing the specific technical specifications to the quality measures and staffing star…...
4.0% Update to SNF payments in FY 2024, That’s Good News
For the last two years we have been fortunate as an industry to have received the two largest Market basket updates to our SNF PPS rates since the inception of PPS in 1998. The Market Basket, simply put, is the overall cost of goods and services that contribute to expenditures required to run and maintain… Continue reading 4.0% Update to SNF payments in FY 2024, That’s Good News
Are you ready for MDS 3.0 v1.19.1?
Are you ready for MDS 3.0 v1.19.1? Next Fall, more data set changes are in the works. In the FY 2024 Final Rule, CMS adopted the COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date (Patient/Resident COVID-19 Vaccine) measure into the SNF QRP. This new measure will affect the QRP APU starting FY 2026.… Continue reading Are you ready for MDS 3.0 v1.19.1?
Regulatory Reminders
As you may be aware, late yesterday CMS released the “Final” version of the RAI Manual v1.18.11 with little time to spare to prepare for implementation on October 1. We have been served a plethora of revisions, 60 to be exact. CMS has provided a very helpful DRAFT to Final change table to help us…...
Insiders Summer Education Series MDS 3.0 v1.18.11 Sections O and Q
MDS 3.0 and the DRAFT RAI Manual revisions have been posted. There have been changes and or revision to the coding guidance for sections O and Q. This program will help providers understand the changes and revisions as well as consider ways to operationalize the updates. Course materials. Enjoy!...
Insiders Summer Education Series MDS 3.0 v1.18.11 Sections M and N
MDS 3.0 and the DRAFT RAI Manual revisions have been posted. There have been changes and or revision to the coding guidance for sections M and N. This program will help providers understand the changes and revisions as well as consider ways to operationalize the updates. Course materials. Enjoy!...