Good afternoon everyone. This late edition of Regulatory Reminders is related to PBJ. This month, CMS quietly issued an updated PBJ Manual. I have attached the revised manual. All of the updated language shows up in the manual in red. PBJ accuracy is critical. Here are the main revisions. on page 1-3, CMS has added…...
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Regulatory Reminders: COVID-19 Vaccine Mandate
Good afternoon everyone. Just this week, on Tuesday, June 14th, CMS issued QSO-22-17-All with a subject: Surveys for compliance with Omnibus COVID-19 Health Care Staff Vaccination Requirements. In that memo CMS indicated that, to date, 95.0% of providers and suppliers surveyed by states have been found to be in substantial compliance with vaccine requirements. Specifically,…...
State Health Inspection Cut Point Levels. The How and the Why Part III
When I was a teenager, I was always very aware that I was not one of the “popular” kids. When you’re a 15 year old that can be very awkward. I didn’t understand it at the time. That’s just the way things were in the social order of junior high and high school. It didn’t… Continue reading State Health Inspection Cut Point Levels. The How and the Why Part III
A Tale of 2 States
Hello there Insiders! Today, we’re going to look at some of the latest data from RESDAC. We’ve just received data for quarter 4 of 2021 and want to share some observations with you. PDPM and Two States Minnesota McKnights recently published an article about skilled nursing and Minnesota. You can read it here. The short…...
PDPM Data Review – SLP
Welcome Back Insiders! Welcome to Part 3 of our series on PDPM data analysis. Today we’re focusing on trends in SLP. If you missed part 1 on nursing, or part 2 on NTAs, you can click those links and check them out. (Account is required for both.) Who better to enlist for help with this…...
Value-Based Purchasing Q2 2022 Update
On March 30th 2022 CMS updated the SNF value-based purchasing dataset. This updated both the baseline period, to 2018, and the performance period to 2019. (The actual performance period is April 1st through December 1st of 2019.) It’s typically good news when new data is released. Readers of this blog know that we often call… Continue reading Value-Based Purchasing Q2 2022 Update
Q&A with the CEO
Welcome Back Insiders Today we’re talking to Broad River Rehab’s CEO, Manning McGraw. Manning will be answering our questions about the industry, where it’s headed, the company and more! Let’s get right to it! Industry Trends Q: Based on our internal modeling of the 2022 part B reimbursement reduction for therapist assistants, we viewed this…...
Regulatory Reminders! CMS Eliminates Key COVID-19 Waivers
Wow! 2 Regulatory Reminders in two days. CMS has been busy! You may be wondering how long CMS will allow many of the COVID-19 waivers will last. Well wonder no longer. Today, CMS issued QSO-22-15-NH. In this memo, CMS has initiated a 30 and 60 day timeline for the phase out of some of the… Continue reading Regulatory Reminders! CMS Eliminates Key COVID-19 Waivers
Regulatory Reminder – CMS Updates 5 Star
Well we knew it was going to happen. CMS has posted a revised 5-Star User’s guide that details the promised changes to the Quality Measure cut point thresholds. In a recent regulatory reminder we indicated that CMS had given us a heads up about these changes in memo issued last month which detailed the planned… Continue reading Regulatory Reminder – CMS Updates 5 Star
PDPM Data Review – NTAs
Welcome Back Insiders Welcome back everyone! Today we’re turning things over to Billy and Shannon. They’re going to take a look at the most recent RESDAC data and focus on NTAs. We’re going to present some data to Billy and Shannon and let them share their thoughts from an operational perspective. Ready? Let’s go! Comments…...