Recently a colleague of mine completed an audit for a customer facility of all Part A residents with zero NTA points. The purpose was to answer the question: “Is it really possible these people have no non-therapy ancillaries?” The results were eye opening: More than 26% of the admissions DID have a potential NTA that… Continue reading Artificial Intelligence in Healthcare
Tag: Knowledge
Document Navigator™ Version 2.0!
We’re excited to announce that version 2.0 of Document Navigator™ is almost here! We think you’ll appreciate the updates and improvements. Some of the highlights: In-Document Highlighting: We’ll highlight relevant items and medications right in your original document so you can see them in context. We’ll also highlight all medications. Improved, Simplified User Interface: We’ve… Continue reading Document Navigator™ Version 2.0!
As if PDPM Weren’t Enough (Part 1)
Here we go! Are you ready for the ride? Just when you thought, “PDPM is finally here so we can take a break on the learning curve”, think again. “No rest for the weary”, could not be a truer statement. On 10/9, CMS released revisions to 4 important documents that providers will need to assimilate,… Continue reading As if PDPM Weren’t Enough (Part 1)
Just How Many HIPPS Codes Are There?
A lot has been made of the complexity of PDPM. We’ve all heard by now there are more than 28 thousand code combinations. Let me get straight to the point: this narrative is wrong and is being used to make you feel like PDPM is too complex for you to handle. The “more than 28… Continue reading Just How Many HIPPS Codes Are There?
Broken Promises…
For years Therapy Companies have told SNFs we can “help increase your census” , “help increase your Medicare Part A rate” “help increase your Medicaid rate” etc…. BUT if your census never increased, your Med A rate stayed the same, and your Medicaid rate did not change, are these just Broken Promises? Right now, every… Continue reading Broken Promises…
CMS Updates the PDPM Website
On Friday August 30th, CMS slipped in a PDPM website update, presumably with the latest revisions to the PDPM that seem to be a natural result of questions and clarifications arising from the Final Rule posting in July, the two training sessions that CMS provided in Kansas City and Baltimore as well as the recent… Continue reading CMS Updates the PDPM Website
The DOs and DON’Ts when signing a PDPM Pricing Amendment
DO Options – PDPM is not “one size fits all”, ask for 2 to 3 pricing options from your therapy provider so you can choose the one that you think is best for your facility. Simplicity – You should be able to clearly understand what it is you are paying. Flexibility – Many therapy providers… Continue reading The DOs and DON’Ts when signing a PDPM Pricing Amendment
How does case-mix drive staffing ratings?
Changes in patient acuity change the case-mix or “expected” hours used to determine staffing stars. That’s not news for anyone who reads this blog. The problem is the relationship is difficult to tease out. This is because CMS does not publish the exact criteria they use to select assessments that are included in calculating acuity… Continue reading How does case-mix drive staffing ratings?
Staffing Navigator™ – A Case Study
In today’s posting I am going to explain how to use Staffing Navigator™ to diagnose and troubleshoot a staffing issue that is causing problems in a 5 Star Rating. This post will also explain staffing cut points which can be confusing. If you haven’t already, download Staffing Navigator™. It’s free in the app stores. Hypothetical… Continue reading Staffing Navigator™ – A Case Study
Introducing: Staffing Navigator™!
Today we’re introducing a new software tool: Staffing Navigator™! This tool is intended to help operators understand how acuity, number of residents, nursing rates and mix (RN, LPN and CNA) work together to determine your staffing stars. Additionally you can use Staffing Navigator™ to: Determine the ideal mix of RN, LPN and CNA to achieve… Continue reading Introducing: Staffing Navigator™!