Simplify Success
This presentation will provide a high-level overview of the “Percent of Residents Whose Need for Help with Activities of Daily Living Has Increased” and demonstrate the impact on the SNF setting quality reporting. As a result of this presentation, participants will be able to confidently identify numerator triggers, denominator qualifiers, lack of covariates, and recognize…...
CMS has released the SNF PPS FY 2027 Final Rule. CMS has finalized some significant changes that will affect SNFs in the new year and beyond. In this presentation We will unpack the CMS Final Rule changes including, payment rates, wage index, the PDPM, SNF QRP and SNF VBP programs. Download course materials here....
It is important for providers to pay attention to the Nursing Home Quality Measures. The UTI Measure is a quality of life measure and affects a facility’s 5-star rating. In this presentation, participants will have an in-depth review of the CMS Long-Stay UTI Quality Measure and will achieve the following: Download course materials here....
Download course materials here. The IMPACT Act intends for there to be universal Post Acute measures that are standardized. The discharge function score is one of those measures and has quickly become the standard outcomes measure in post acute care for SNFs, IRFs, LTCHs and HH. This presentation will give a high level overview of…...
PDPM is a complex system of reimbursement. Of the 5 payment categories, the NTA category requires significant clinical skill and awareness to be sure the NTA HIPPS fully represents the unique characteristics of each resident. Over 40% of the points at stake within this category represent ICD-10 coding at MDS item I8000. With some states…...
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…...