A Knowledgeable and Compassionate partner
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…...
Dash filling SNF QRP sensitive items on the MDS can have a negative effect on the financial outcomes of a facility. Understanding what is required to avoid QRP sensitive item documentation errors is a must. This presentation will help participants understand how to be sure they are compliant with QRP item documentation. Download course materials…...
It’s finally here! The FY 2025 SNF PPS final rule has been posted. There’s lots to unpack from rate updates and PDPM ICD-10 changes to updates to the SNF VBP and QRP programs. This discussion will help us prepare for the updates that will take effect on October 1. Download course materials here. You know,…...
There are many pitfalls when it comes to coding items on the MDS that support proper PDPM payment. Shortness of breath while lying flat and isolation are two that can trip coders up. Documentation to support these items is crucial to ensuring that claims are paid and not denied. Download course materials here....
This series will review Section K items that impact PDPM, look back time period for the item sets, and supporting documentation needed Download course materials here....
Understanding how your PPS rate is constructed is a critical skill. This presentation will break apart the PPPS rate and discover ways to ensure that your team is identifying and capturing resident specific information necessary for a PPS rate that reflects the acuity of your patient population. Download course materials here. Download PDPM Rate Calculator…...
With the implementation of PDPM item I0020B, primary diagnosis, became foundational for establishing the PT, OT and a portion of the SLP HIPPS. Accurate documentation to support the primary diagnosis is critical to PDPM success. In this presentation, Shannon Hayes will break apart the requirements for primary diagnosis supporting documentation. Download course materials....
Since section G was eliminated from federally required MDS assessments with the implementation of MDS 3.0v1.18.11. Section GG has become the only source of ADL data supporting MDS impact areas like reimbursement and quality measurement. In this presentation, Dr. Gwen Pointer will lead us through the documentation requirements for accurate coding of section GG of…...