PDPM is complex and mastering the 5 payment categories in this grouper is a must. The nursing category contains an array of clinical data that identifies the resident’s unique needs from a reimbursement and quality perspective. Getting this category right will ensure proper payment for both Medicare and, in many states, Medicaid, proper representation of…...
Employees
This category is for content that is “Employee Only”.
Long and Short Stay Antipsychotic Measures
Antipsychotics are in CMS’ crosshairs. The long stay quality measure has been revised to include claims data and managing antipsychotic use has become a significant challenge. This presentation will cover a high level review of these measures that will invite further conversation for your facility staff to engage and manage these important metrics. Download course…...
Reflections: 5-Star Cutpoint Updates
Insiders: you can watch the recording of November’s Reflections call here. Download materials here....
Reflections: MDS V1.18.11 Item by Item Revisions
Insiders: for those of you who missed it, you can view the 10-20-2022 webinar on MDS V1.18.11 below. Those of you looking for ANCC credit, please fill out this form. Course materials can be downloaded here....
Regulatory Reminder – iQIES and 5-Star
This is just a heads up regarding a few significant changes occurring soon: iQIES and 5-Star threshold revisions. Internet Quality Improvement Evaluation System (iQIES) Hopefully this is not the first time you have heard about iQIES. If it is, don’t worry, it is very new. In early 2023, CMS will switch systems for providers to…...
Reflections: CAAs
Insiders: for those of you who missed it, you can view the 9-15-2022 webinar on Care Area Assessments below. Those of you looking for ANCC credit, please fill out this form. Handouts are available here....
Insiders Webinar: 5 Star Updates!
You are invited to a Zoom webinar! Joel will be reviewing all upcoming changes to the 5-Star program. The July refresh is just around the corner. When: Jul 13, 2022 12:00 PM Eastern Time (US and Canada) Topic: BRR Insiders 5-Star Updates Special Reflections Call Register in advance for this webinar: After registering, you will…...
