FY 2025 Final Rule

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,…...

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Major Wage Index Proposals are in the wind, Courtesy of CMS

It’s springtime and that means rain and wind and blustery weather as winter gives up the ghost and warmer days approach. The spring ritual of shedding the heavy outer garments and donning more comfortable seasonal attire has begun. It’s also time for another early spring ritual. Every year around this time. CMS publishes the proposed… Continue reading Major Wage Index Proposals are in the wind, Courtesy of CMS

Are you ready for MDS 3.0 v1.19.1?

Are you ready for MDS 3.0 v1.19.1? Next Fall, more data set changes are in the works. In the FY 2024 Final Rule, CMS adopted the COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date (Patient/Resident COVID-19 Vaccine) measure into the SNF QRP. This new measure will affect the QRP APU starting FY 2026.… Continue reading Are you ready for MDS 3.0 v1.19.1?

Regulatory Reminders: IQIES and the RAI Manual

Here are a few reminders IQIES IQIES: It’s official. The transition from QIES to IQIES will occur on April 17th. That means that as of that date, providers will no longer be able to submit MDS assessments through the current QIES system. If you have not prepared, NOW is the time. On the CMS LTC…...

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Regulatory Reminders: The End of the PHE?

I am writing this reminder with some hesitation. On January 30, 2023, the Biden-Harris Administration announced its intent to end the national emergency and public health emergency (PHE) declarations related to the COVID-19 pandemic on May 11, 2023. Note that there has yet to be an official announcement from CMS or DHS. However, the current…...

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Regulatory Reminders! CMS Eliminates Key COVID-19 Waivers

Wow! 2 Regulatory Reminders in two days. CMS has been busy! You may be wondering how long CMS will allow many of the COVID-19 waivers will last. Well wonder no longer. Today, CMS issued QSO-22-15-NH. In this memo, CMS has initiated a 30 and 60 day timeline for the phase out of some of the… Continue reading Regulatory Reminders! CMS Eliminates Key COVID-19 Waivers

Regulatory Reminder 5-Star: Update Part 2

Things are moving at a breakneck pace already and we are only just a few weeks into the new year. As we noted in our last update, CMS has decided to use Care Compare to publicly report weekend staffing hours and staff turnover. They have also indicated that these new measures will affect individual facility… Continue reading Regulatory Reminder 5-Star: Update Part 2

Regulatory Reminders!

It’s a new year and CMS is not wasting any time. Late Friday, 1/7/2022, CMS released memo QSO-22-08-NH.  In this memo CMS has laid out their intentions to begin using PBJ data inform the public related to weekend staffing and staff turnover in 3 distinct ways. Public Posting on Care Compare CMS will begin posting… Continue reading Regulatory Reminders!