Yesterday I blogged all about North Carolina Medicaid. You can read that blog here. I thought Insiders might appreciate some detail I left out of the public article. COVID-19 Add-On I made this statement: The average skilled nursing facility could see a reduction of $137,402.60 per quarter. Me ~ Less than 24 hours ago. You…...
Tag: Medicaid
PDPM, Medicaid and the Future
We are now more than a year into PDPM. How’s it going? If you are like most people, you are doing better financially with PDPM than with the RUG-IV, 66 grouper it replaced. In fact the data is pretty clear that almost everyone is doing better financially under PDPM. Now we are starting to hear… Continue reading PDPM, Medicaid and the Future
North Carolina Medicaid Trends Continue
In every state we analyze that has a case-mix system there are certain trends that we see over and over. Two of the most common trends are: Average case-mix slowly increases over time. This is true even in states that have a budget neutrality factor (BNF). North Carolina doesn’t have a BNF. In states that… Continue reading North Carolina Medicaid Trends Continue
Providing Measurable Value In CaseMix
How many therapy companies tell you they’ll help you improve your case-mix? How many tell you they’ll help you with ADL training? (Section G isn’t going away if you live in a case-mix state.) How many claim their clients have better reimbursement because of more complete documentation? The answer is nearly all of us make… Continue reading Providing Measurable Value In CaseMix
Q4 2018 North Carolina Medicaid Data
The data used to set rates for skilled nursing facilities in North Carolina for the final quarter of 2018 is here. We mine this data every quarter for not only trends but to also identify opportunities for us and our clients. I’ll summarize the major points here. View fullsize Overall case-mix index continues to climb.… Continue reading Q4 2018 North Carolina Medicaid Data
4 reasons why you should have a robust Restorative Nursing Program in your facility
Restorative Nursing Programs are essential for provision of care for residents in long term care. Imagine yourself as a resident in a nursing home (for some that though alone causes anxiety) – would you want to maintain your physical ability to continue to be as independent as possible? Would you want to have trained staff… Continue reading 4 reasons why you should have a robust Restorative Nursing Program in your facility
Q&A with Joel VanEaton
Recently Broad River Rehab welcomed Joel VanEaton to the team. In this posting we’re going to ask Joel some burning questions we’ve been wondering about and get his perspective. BRR: How will PDPM change the role of the MDS nurse? JVE: Under PDPM the MDS nurse will only become more important for one primary reason:… Continue reading Q&A with Joel VanEaton
Downloadable RAI Manual
Do you need an offline version of the RAI manual? Download it here: Everything Except Chapter 3 Chapter 3 Update
Trends in North Carolina Medicaid
Based on the latest data from the state of North Carolina, we can look at trends for Medicaid in skilled nursing in the state. Overall, average case-mix is up significantly, continuing a long term climbing trend. Keep in mind that in North Carolina, if the mean case-mix is increasing while your facility case-mix stays constant,… Continue reading Trends in North Carolina Medicaid
Tennessee Medicaid
Case-Mix In Tennessee Tennessee has announced its intention of moving towards the 48 RUG grouper for Medicaid in skilled nursing facilities. This post is intended to be a reference about the 48 grouper you’ll be using in Tennessee. You are in good company The 48 grouper is used by quite a few states. Its use… Continue reading Tennessee Medicaid