Remember the famous line from Bert in Mary Poppins. “Winds in the east. Mist coming in. Like something is brewing, about to begin.” Somethings brewing for sure and it is coming from Baltimore Md. I’m talking about the abrupt changes CMS is making to the SNF 5-star ratings. In part 1 of this blog series,… Continue reading The summer storm of 5-Star Changes. Look out for the lightening! (Part 2)
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BRR Insiders Members Only Blog: The summer storm of 5-Star Changes. Look out for the lightening! (Part 1)
I love a good summer thunder storm. For me it’s relaxing and clears the air. Outside there is a sense of newness after it passes and everything seems fresher. CMS has created a storm of their own with a pair of recently released QSO memos, QSO-25-20-NH and QSO-25-19-All. With QSO-25-20-NH, CMS has changed the criteria for the 5-star…...
The summer storm of 5-Star Changes. Look out for the lightening! (Part 1)
I love a good summer thunder storm. For me it’s relaxing and clears the air. Outside there is a sense of newness after it passes and everything seems fresher. CMS has created a storm of their own with a pair of recently released QSO memos, QSO-25-20-NH and QSO-25-19-All. With QSO-25-20-NH, CMS has changed the criteria… Continue reading The summer storm of 5-Star Changes. Look out for the lightening! (Part 1)
June Broad River Rehab Reflections: PDPM Refresher Part 2: The IDT approach to completing section GG.
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…...
May Broad River Rehab Reflections: FY 2026 SNF PPS Proposed Rule.
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 CMS’ proposals related to the payment rates, wage index, the PDPM, SNF QRP and SNF VBP programs. When: May 15, 2025, 12:00 PM…...
Introducing the Broad River Rehab Discharge Function Score Calculator
Since January 2025, 5-star ratings are being affected by the new Discharge Function Score SNF QRP quality measure. This complex and often confusing measure has providers scratching their heads as to why a resident triggers or doesn’t trigger. That’s why Broad River Rehab has created a resource to take away the confusion and head scratching.…...
April Broad River Rehab Reflections: PDPM Refresher Part 1: Primary Diagnoses
When: April 17, 2025, 12:00 PM Eastern Time (US and Canada) Topic: PDPM Refresher Part 1: Primary Diagnoses. Register in advance for this webinar 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…...
“Confidentially Speaking”
Sometimes when a friend walks up to you and frames what they are about to say with, “please keep this confidential”, one of two reactions typically occurs. You might say, “please tell me all the juicy details.” Or you might say, “Stop, I don’t really want to know.” Sometimes CMS releases confidential information that may… Continue reading “Confidentially Speaking”
Just keeping it confidential
Sometimes when a friend walks up to you and frames what they are about to say with, “please keep this confidential”, one of two reactions typically occurs. You might say, “please tell me all the juicy details.” Or you might say, “Stop, I don’t really want to know.” Late last week CMS released some confidential…...
The Parallel Healthcare Universe
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