A Knowledgeable and Compassionate partner
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…...
Since January 2025, 5-star ratings are being affected by the new Discharge Function Score SNF QRP quality measure. This complex and often confusing measure has providers scratching their heads as to why a resident triggers or doesn’t trigger. That’s why Broad River Rehab has created a resource to take away the confusion and head scratching.…...
When: April 17, 2025, 12:00 PM Eastern Time (US and Canada) Topic: PDPM Refresher Part 1: Primary Diagnoses. Register in advance for this webinar 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…...
Sometimes when a friend walks up to you and frames what they are about to say with, “please keep this confidential”, one of two reactions typically occurs. You might say, “please tell me all the juicy details.” Or you might say, “Stop, I don’t really want to know.” Late last week CMS released some confidential…...
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…...
In quarter 1 of 2025 we will be releasing a new version of PDPM Navigator®! We’re really excited to show it to you. The new version will include ALL the current functionality and some exciting new features. I don’t want to spoil the surprises yet, but I will post a couple of screenshots....
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…...