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…...
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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
January 2025 Five-Star Changes Coming Your Way!
The January 2025 Care Compare refresh will contain new data for four quality measures that were frozen last year due to the the elimination of section G and the replacement of the related portions of the technical specifications with section GG items. The 4 quality measures are: To address these changes in measure specifications, the… Continue reading January 2025 Five-Star Changes Coming Your Way!
PDPM Navigator 2 is Coming!
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....
Major Wage Index Proposals are in the wind, Courtesy of CMS
It’s springtime and that means rain and wind and blustery weather as winter gives up the ghost and warmer days approach. The spring ritual of shedding the heavy outer garments and donning more comfortable seasonal attire has begun. It’s also time for another early spring ritual. Every year around this time. CMS publishes the proposed… Continue reading Major Wage Index Proposals are in the wind, Courtesy of CMS
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.…...