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Falls are a major source of morbidity and mortality in the LTC population as well as a major cost to the federal reimbursement systems. As a result, the long and Short stay falls with major injury quality measures are changing to include claims data. This presentation will give a high level overview of the impending…...
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…...
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…...
Download course materials here. 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. ...
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…...
The RAI Manual and MDS 30. v1.20.1 have been posted for FY 2026. There are some surprising updates. It’s time to dig in and get prepared as these changes take effect on October 1. Also, on October the Value Based Purchasing Incentive Multiplier, based on 4 quality measures, takes effect. We will review a multiplier…...
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…...