Under PDPM, rehab will become a cost and no longer be a source of revenue. Since outcomes are still job one, you might be wondering just how you’re going to pay for the rehab that is necessary to achieve the best possible patient outcome. Planning is critical to your success. Contrary to what a lot… Continue reading Paying for Rehab Under PDPM
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The ADL Difference
Take a look at this: (click to enlarge) View fullsize This is data from 2016. At that time, Broad River Rehab was just getting started. We were serving only 8 facilities. But even at this early stage you can see that our customers had significantly higher ADL scores than national averages. We’d effectively moved more… Continue reading The ADL Difference
ALF Expectations
Recently I had the opportunity to sit down and share a meal with some smart and savvy operators of several assisted living facilities after the NCALA Trade Show. (By the way, the show was awesome! Thanks NCALA!) During that meal, a very smart nurse said the following: (I’m paraphrasing here.) Changes that you might expect… Continue reading ALF Expectations
Part A RUGs – Some Observations
Do you want to see a picture that explains a lot about skilled nursing right now? Take a look at this: (click to enlarge) View fullsize This is from the 2016 Medicare Part A data that CMS released a few days ago. There is a lot to unpack in that data set, but just based… Continue reading Part A RUGs – Some Observations
PDPM, Non-Therapy Ancillaries & MDS Section I
PDPM includes a new pay category, the non-therapy ancillary or NTA. Everyone I’ve talked to agrees the NTA payment is a good idea. But, since it’s new, we’re going to have to work on understanding how it’s supposed to work, and how we can most easily and efficiently complete the assessment with accurate information. View… Continue reading PDPM, Non-Therapy Ancillaries & MDS Section I
Understanding the Value of the MDS Nurse Under PDPM
As the SNF world draws its collective breath and begins to consider the Patient Driven Payment Model (PDPM), the new reimbursement system that will drive payment for Medicare Part A for SNFs starting October 1, 2019, there are many questions and misunderstandings. Because of the major changes to the payment system, compared to RUG IV… Continue reading Understanding the Value of the MDS Nurse Under PDPM
Q4 2018 North Carolina Medicaid Data
The data used to set rates for skilled nursing facilities in North Carolina for the final quarter of 2018 is here. We mine this data every quarter for not only trends but to also identify opportunities for us and our clients. I’ll summarize the major points here. View fullsize Overall case-mix index continues to climb.… Continue reading Q4 2018 North Carolina Medicaid Data
4 reasons why you should have a robust Restorative Nursing Program in your facility
Restorative Nursing Programs are essential for provision of care for residents in long term care. Imagine yourself as a resident in a nursing home (for some that though alone causes anxiety) – would you want to maintain your physical ability to continue to be as independent as possible? Would you want to have trained staff… Continue reading 4 reasons why you should have a robust Restorative Nursing Program in your facility
PDPM, SNFs & Therapy Contracts
PDPM is scheduled to be implemented October 1, 2019 for traditional Medicare Part A patients in the SNFs. This will mean your therapy company will probably need to amend their contract to accommodate this new type of payor source. So how will you be charged? Since history is a pretty good indicator of the future,… Continue reading PDPM, SNFs & Therapy Contracts
PDPM Calculator & Wage Indexing
Since we launched our PDPM Calculator, it’s become one of the most popular things on our site. It’s even the second (and third) result on Google for “PDPM calculator”. One request we’ve heard a few times is to add wage indexing so you can see what the rates look like where you live. There are… Continue reading PDPM Calculator & Wage Indexing