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Quality Measures are a major driver of a provider’s 5-star rating. Understanding how these measures affect the 5-star rating and how strategic approaches to QM management can ensure a QM rating that reflects your facility’s quality improvement efforts is an essential skill. This presentation aims to help providers understand the QM effect on the 5-star…...
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.…...
Quality Measure Definitions can be confusing. Each of the technical specifications relies heavily on a working knowledge of basic quality measure construction. This presentation aims to unravel the tangle of definitions in chapter 1 of the Quality Measures User’s guide and applies them to example technical specifications. Participants will come away with a working knowledge…...
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The Long-stay antipsychotic quality measure has been revised. It is essentially a new quality measuring antipsychotic use among the long stay that will rely on MDS and claims data to not only record antipsychotic use but verify excluding diagnose like schizophrenia as well. The 5-star ratings on Care Compare will be updated in January ’26…...
Download course materials here. MDS compliance with the SNF QRP reporting requirements can be challenging. Understanding the SNF QRP IQIES reporting results can also be mysterious. This presentation will unlock the truth behind the reporting requirements and review IQIES reports to help facilities understand how to manage this important SNF program. ...
MDS compliance with the SNF QRP reporting requirements can be challenging. Understanding the SNF QRP IQIES reporting results can also be mysterious. This presentation will unlock the truth behind the reporting requirements and review IQIES reports to help facilities understand how to manage this important SNF program. Download course materials here....
The Speech Language Pathology Component in PDPM can be can be challenging to understand. With so many moving parts it can be difficult to be sure you have captured everything necessary to accurately represent your resident population accurately in the facility PDPM rate. This presentation will unlock the SLP component of PDPM so providers can…...
The RAI Manual and MDS 30. v1.20.1 have been posted for FY 2026. There are some surprising updates. It’s time to dig in and get prepared as these changes take effect on October 1. Also, on October the Value Based Purchasing Incentive Multiplier, based on 4 quality measures, takes effect. We will review a multiplier…...
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…...