CMS ResDAC Data Review and Trending

RESDAC data continues to intrigue. Since the inception of PDPM in October 2019, the data has a story to tell. Through the pandemic and into the most recent quarter, knowing how the nation has responded to the changing payment structure can help benchmark facility use of the new payment structure and create a roadmap for…...

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The PDPM Nursing category. A Primer for MCRA and MCD

Traditionally, the PDPM nursing category has been underutilized in its representation of resident unique characteristics. With the elimination of section G in MDS 3.0 v1.18.11 in October 2023, states are moving away from RUG based case mix index rate adjustments to PDPM based systems that generally incorporate only the PDPM nursing category in that calculation.…...

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Georgia Transition to PDPM for Medicaid CMI

Download course materials here. Georgia has transitioned to PDPM for Medicaid CMI and rate calculations. This training will help providers get up to speed with regard to this transition along with practical steps they can take to ensure that their PDPM generated CMI is an accurate reflection of the resident’s unique clinical mix. Version 2…...

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SNF QRP Measures a deep dive

The SNF Quality Reporting program, or SNF QRP, Continues to grow in it’s importance and influence on skilled nursing facilities. With the FY 22024 final rule firmly establishing SNF QRP expansion, providers should be aware of the scope and variety of measures that reporting requirements that could impact their PPS payment rates. This presentation will…...

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Kentucky Transition to PDPM for Medicaid CMI

Kentucky has transitioned to PDPM for Medicaid CMI and rate calculations. This training will help providers get up to speed with regard to this transition along with practical steps they can take to ensure that their PDPM generated CMI is an accurate reflection of the resident’s unique clinical mix.  Course materials are available here....

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Tennessee Transition to PDPM for Medicaid CMI

Tennessee has transitioned to PDPM for Medicaid CMI and rate calculations. This training will help providers get up to speed with regard to this transition along with practical steps they can take to ensure that their PDPM generated CMI is an accurate reflection of the resident’s unique clinical mix.  Course materials are here....

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SNF Value Based Purchasing FY 2024, a Deeper Dive

CMS has upped the game when it comes to SNF Value-Based Purchasing. By 2028 there will be 8 measures that facilities will have to perform well on in order to retain some or all of the 2% withhold. Providers will need to understand measures as well as the scoring method and health equity adjustment. This…...

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Get to know Your Confidential Feedback Reports

More than half of the FY 2024 SNF PPS Final Rule was dedicated to the SNG QRP and VBP programs. A significant component of both of these programs now spotlights Social Risk Factors and Health Equity. The VBP program has a health equity bonus structure and CMS recently released Health Equity confidential feedback reports for…...

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Regulatory Reminder!

It’s time for another Regulatory Reminder. There is a lot going on so let’s get started. Item 1. CMS has released an item set change table supplement document along with MDS 3.0 v.1.8.11 v.6. there were several data set corrections. It would be worth your time to download the supplement to familiarize yourself with the latest data set.…...

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RAC-CT Class Announcement!

Broad River Rehab is offering an AAPACN RAC-CT certification class available to BRR Staff and Customers. This course will be taught by Joel VanEaton, EVP of PAC Regulatory Affairs and Education with Broad River Rehab and AAPACN certified Master Teacher. This class will be provided in a virtual format so all classes will be provided…...

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