The QMs and 5-Star

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…...

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The new Long Stay Antipsychotic Quality Measure

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…...

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Broad River Rehab FAQ’s

Q: Can CPAP/BiPAP be coded under respiratory therapy? We normally code at MDS item O0110G, Non-Invasive Mechanical Ventilator, but not in O0400D, Respiratory Therapy. A: It is correct that the appropriate place to code the use of BiPAP or CPAP is at MDS item O0110G, Non-Invasive Mechanical Ventilator. Specific instructions can be found in the… Continue reading Broad River Rehab FAQ’s

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What A Doozy! CMS Updates the Long Stay Antipsychotic Measure.

The much anticipated changes to the Long Stay Antipsychotic quality measure have finally been posted. The new specifications are sweeping with claims based data headlining the revisions. Now, in addition to the MDS, certain claims data from Medicare Part D, Medicaid RX (Pharmacy), Medicaid OT (Other Services), Medicare OP (Outpatient) and other claims, will be… Continue reading What A Doozy! CMS Updates the Long Stay Antipsychotic Measure.