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The Medicare benefit period/spell of illness is an often-misunderstood concept that trips up providers related to the benefits a resident has available when they come to the SNF with Medicare Part A as the payer source. This program will help providers cut through the noise and many of the myths and dig into what the…...
In Late September, CMS updated the RAI Manual. While most of the revisions are clarifications of existing guidlines, there are a few that will have an impact on how we code that will be different from FY 2026. Also, CMS has clarified the definition of an OBRA discharge assessment. This presentation will help providers get…...
Since this is the first year that the SNF VBP IPM will be based on performance eight measures, we have decided to spend the September BRR Reflections call helping providers understand how their IPM is calculated. We will unpack the measures, break apart the calculations and identify QM management strategies so that providers will have…...
This presentation will provide a high-level overview of the “Percent of Residents Whose Need for Help with Activities of Daily Living Has Increased” and demonstrate the impact on the SNF setting quality reporting. As a result of this presentation, participants will be able to confidently identify numerator triggers, denominator qualifiers, lack of covariates, and recognize…...
CMS has released the SNF PPS FY 2027 Final Rule. CMS has finalized some significant changes that will affect SNFs in the new year and beyond. In this presentation We will unpack the CMS Final Rule changes including, payment rates, wage index, the PDPM, SNF QRP and SNF VBP programs. Download course materials here....
It is important for providers to pay attention to the Nursing Home Quality Measures. The UTI Measure is a quality of life measure and affects a facility’s 5-star rating. In this presentation, participants will have an in-depth review of the CMS Long-Stay UTI Quality Measure and will achieve the following: Download course materials here....
Download course materials here. The IMPACT Act intends for there to be universal Post Acute measures that are standardized. The discharge function score is one of those measures and has quickly become the standard outcomes measure in post acute care for SNFs, IRFs, LTCHs and HH. This presentation will give a high level overview of…...
PDPM is a complex system of reimbursement. Of the 5 payment categories, the NTA category requires significant clinical skill and awareness to be sure the NTA HIPPS fully represents the unique characteristics of each resident. Over 40% of the points at stake within this category represent ICD-10 coding at MDS item I8000. With some states…...
Participants will have an in-depth review of the Skin Integrity Post Acute Pressure Ulcer Injury (Pressure Ulcer New or Worsening) Quality Measure and will achieve the following: 1. Identify MDS items that will trigger this Quality Measure. 2. List the two exclusions for this Quality Measure. 3. Understand the significance of the four covariates and…...
Falls are a major source of morbidity and mortality in the LTC population as well as a major cost to the federal reimbursement systems. As a result, the long and Short stay falls with major injury quality measures are changing to include claims data. This presentation will give a high level overview of the impending…...