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Understanding what is considered a skilled level of care from the nursing services perspective is an important IDT skill. This Direct Nursing Skilled Services and Indirect Nursing Skilled Services training will review the skilled nursing definition per Medicare Benefit Policy Manual, documentation to support skilled care, and an overview of indirect and direct examples. Download…...
Understanding and mastering consolidated billing principles are essential skills for nursing facility operators. There are many pitfalls that must be avoided in order to be sure that the services provided are billed to the appropriate payer. Often, facilities end up paying for items and services for which others should be billing. This educational offering will…...
When a nursing facility finds itself under a denial of payment for new admissions (DPNA), navigating the regulatory environment can be tricky. This presentation will guide providers through the DPNA landscape and help to clear the air on this often confusing criteria. Download course materials here....
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…...
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…...
his refresher course for SNF participants will look into the requirements for a Medicare Benefit Part A stay. The coverage criteria will be reviewed including the factors that are mandated by Medicare as well as the 3-day hospital stay. Participants will be able to have a better understanding of the necessary items that support a…...
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…...
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 the CMS proposals related to the payment rates, wage index, the PDPM, SNF QRP and SNF VBP programs. Download course materials here....
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…...
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 and the residual effects of the appropriate application of the regulatory requirements for this item is a must for accurate reimbursement and appropriate quality…...