It has been said that, “A little bit goes a long way”. And, as an industry, that little bit has been quite a lot as we have geared up for and implemented the PDPM. I for one am feeling the effects of the long way this “little bit” has taken us. Now that we have… Continue reading The Name of the Game is SPADEs
Tag: Medicare Part A
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
CMS Releases 2020 Proposed Rule – The Highlights
As you may be aware, on April 19th CMS released the FY 2020 SNF PPS Proposed Rule that sets forth the proposed updates to FY 2020 beginning Oct 1, 2019 . As you know, CMS finalized the Patient Driven Payment Model in last year’s final rule, so the proposed rule contains mostly expected revisions related… Continue reading CMS Releases 2020 Proposed Rule – The Highlights
CMS has updated the PDPM website… Again!
As we in the SNF world eagerly anticipate the 5-Star and the SNF FY 2020 proposed rule this month, the revised RAI Manual in May and the SNF FY 2020 Final Rule in July, on April 4th, CMS updated the PDPM Website… again! Things are really moving at a breakneck pace. You may feel like… Continue reading CMS has updated the PDPM website… Again!
PDPM Navigator Lite™ – Free in the App Store!
We’ve decided to offer a lite version of our PDPM Navigator™ to everyone FOR FREE! PDPM Navigator Lite™ does everything that our website PDPM Calculator does (and more) but it does it all on your phone. You can use it wherever, whenever, however. No internet is required after the install. How do you get it?… Continue reading PDPM Navigator Lite™ – Free in the App Store!
The Do’s and Don’ts in a Rehab Contract (you WILL amend your contract this year)
With PDPM looming, the industry is abuzz with pricing models as the current RUV IV pricing will no longer apply. Your current rehab provider will come to you soon and propose an amendment to your current contract to account for patient treatment falling under PDPM. This is a PERFECT time for you to not only… Continue reading The Do’s and Don’ts in a Rehab Contract (you WILL amend your contract this year)
Part A RUGs by Facility (Yes all of them.)
CMS has released 2016 Part A data for skilled nursing (and others). It’s easy to see from this data why PDPM is on the way. For those who are curious but not so curious to spend much time on it, I’ve taken all the RUGs for every facility in the US and mapped them. See… Continue reading Part A RUGs by Facility (Yes all of them.)