A Knowledgeable and Compassionate partner
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…...
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....
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…...
In November 2024, CMS updated Appendix PP of the state operations manual with revised regulatory guidance to surveyors. These changes will affect surveys beginning in April 2025. In this presentation, Broad River Rehab will review the following updates to Appendix PP along with the revised Critical element pathways.: QAPI Improvement activities, Cardio Pulmonary Resuscitation, Pain…...
In November 2024, CMS updated Appendix PP of the state operations manual with revised regulatory guidance to surveyors. These changes will affect surveys beginning in March 2025. In this presentation, Broad River Rehab will review the following updates to Appendix PP along with the revised Critical element pathways: Download course materials here....
All 5 quality measures that were frozen last year will be unfrozen with the January 2025 Care Compare update. CMS has updated the 5-Star user’s guide in anticipation of this action. This BRR Reflections presentation will unpack the changes in the updated user’s guide and help you prepare for this significant 5-Star update. Download course…...
With the SNF Value Based Purchasing incentive multiplier set to be impacted by 4 quality measures in FY 2026 and a total of 8 measures by FY 2027, CMS has revised the scoring methodology to accommodate the additional measures. CMS has also posted early look feedback reports to IQIES to prepare providers for this change.…...
The SNF QRP required discharge function score measure is the GG replacement measure for the section G based short stay improvement in function. Since January 2024, CMS has been calculating the new discharge function score on IQIES reports. The new measure is set to affect 5-star ratings in October ’24 and the Value Based Purchasing…...
CMS has made changes to the MDS item set that will take effect in the next two fiscal years. Some changes are minor while some of the changes have been designed to align data capture in the SNF with the health equity initiatives embedded in the National Quality strategy. SNFs will be gathering more Social…...