Simplify Success
These webinars are for Insiders only
PDPM is complex and mastering the 5 payment categories in this grouper is a must. The nursing category contains an array of clinical data that identifies the resident’s unique needs from a reimbursement and quality perspective. Getting this category right will ensure proper payment for both Medicare and, in many states, Medicaid, proper representation of…...
Antipsychotics are in CMS’ crosshairs. The long stay quality measure has been revised to include claims data and managing antipsychotic use has become a significant challenge. This presentation will cover a high level review of these measures that will invite further conversation for your facility staff to engage and manage these important metrics. Download course…...
The SNF Quality Reporting Program and the SNF Value Based Purchasing Program are both driven by quality measures. These two programs have financial incentives to not only report the data for these measures accurately but to show improvement as well. How facilities manage their quality measures has a significant impact on the outcomes they will…...
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 and ICD-10 mapping revisions. Download…...
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…...
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…...
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…...