FY 2024 SNF PPS Final Rule

CMS has released the SNF PPS FY 2024 Final Rule which sets Medicare Part A payment rates for SNFs beginning October 1, 2023. This rule also spells out ICD-10 primary diagnosis code changes and the significant changes headed our way in both the SNF Quality Reporting Program and the SNF Value Based Purchasing Program. This…...

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Insiders Summer Education Series MDS 3.0 v1.18.11 Sections I, J and K

MDS 3.0 and the DRAFT RAI Manual revisions have been posted. There have been changes and or revision to the coding guidance for sections I, J and K. This program will help providers understand the changes and revisions as well as consider ways to operationalize the updates. Course materials, for, you know, fun....

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Insiders Summer Education Series MDS 3.0 v1.18.11 Sections GG and H

MDS 3.0 and the DRAFT RAI Manual revisions have been posted. There have been changes and or revision to the coding guidance for sections GG and H. This program will help providers understand the changes and revisions as well as consider ways to operationalize the updates. Check out those course materials....

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Regulatory Reminders – SNF QRP Non-Compliance Notifications

CMS just announced that the Quality Reporting Program: Non-Compliance Letters for FY 2024 APU have been released. These non-compliance letters notify facilities that are out of compliance with the SNF Quality Reporting Program (QRP) requirements for CY 2022. This will affect their FY 2024 Market Basket Update or Annual Payment Update (APU). Facilities that are…...

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Regulatory Reminders! July 5-Star Preview Reports and 5-Star User’s Guide updates

Extra! Extra! July ’23 5-Star preview reports posted today to QIES, not IQIES. The Five-Star ratings provided in these reports display for nursing homes on the Care Compare website on or around July 26, 2023. CMS had originally planned to distribute these reports in iQIES starting in July; however, the distribution of the Five Star…...

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MDS 3.0 v1.18.11 Sections D and F RAI Manual and Data Set Revisions

MDS 3.0 v1.18.11 will be effective October 1, 2023. Multiple revisions to the MDS data set and RAI Manual have been released. This program will highlight the changes to sections D and F and help facility IDT’s to consider operational strategies. Course materials may be downloaded here....

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Insiders Summer Education Series MDS 3.0 v1.18.11 Sections B and C

MDS 3.0 and the DRAFT RAI Manual revisions have been posted. There have been changes and or revision to the coding guidance for sections B and C. This program will help providers understand the changes and revisions as well as consider ways to operationalize the updates. Course materials? Of course we have course materials!...

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Insiders Summer Education Series MDS 3.0 v1.18.11 Section A

MDS version 1.18.11 will be effective October 1, 2023. The DRAFT version of the RAI Manual has been released. This program will provide a high level overview of the DRAFT RAI Manual Revisions. Course materials can downloaded here. You can request NAB hours here....

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Broad River Rehab Summer Education Series: MDS 3.0 v1.18.11

During our monthly Broad River Rehab Reflections presentation, we highlighted the changes to the recently released MDS. Thank you again to those of you who participated in that web presentation. For those unable to join, we posted the recording and materials on the Insiders page. We are excited to announce that yesterday’s presentation was the…...

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