It, still the season for giving right? So… we thought we would provide you with some post Christmas, pre new year reading courtesy of CMS As you may be aware, CMS promised a full set of MDS 3.0 v1.18.11 item sets before the end of the year. Well, CMS has gone and done it again.… Continue reading All 9 MDS 3.0 v1.18.11 DRAFT Item Sets Released!
Tag: PDPM
BRR Insiders Final Rule Series 1: Thorough Investigation of the Rate Drivers
A Tale of 2 States
Hello there Insiders! Today, we’re going to look at some of the latest data from RESDAC. We’ve just received data for quarter 4 of 2021 and want to share some observations with you. PDPM and Two States Minnesota McKnights recently published an article about skilled nursing and Minnesota. You can read it here. The short…...
The FY 2022 SNF PPS Final Rule: Learn the Facts behind the headlines Part 2 – ICD-10 Revisions and PDPM. What’s in it for me?
Henry David Thoreau once said, “Our least deed, like the young of the land crab, makes its way to the sea of cause and effect as soon as born, and makes a drop there to eternity.” This is true of the daily choices we all make in our personal lives. It is also true of… Continue reading The FY 2022 SNF PPS Final Rule: Learn the Facts behind the headlines Part 2 – ICD-10 Revisions and PDPM. What’s in it for me?
PDPM Calculator
The PDPM Calculator helps you understand how changes in Default Clinical Category, Section GG, Speech and Language Pathology, Non-Therapy Ancillaries and Nursing Categories will change your PDPM categorization AND pay. All urban and rural areas are included.
SNF FY 2022 Proposed Rule – Learn the Facts Behind the Headlines Part 2: Don’t Forget About Your Wage Index!
Among the many required updates that CMS is mandated to make each year related to the SNF PPS rate, there is one pesky little number that often gets lost in the shuffle. That number is the wage index. The wage index is an adjustment to the SNF PPS rate that accounts for regional differences in… Continue reading SNF FY 2022 Proposed Rule – Learn the Facts Behind the Headlines Part 2: Don’t Forget About Your Wage Index!
PDPM Navigator®
PDPM Navigator is the most popular PDPM app in the country for skilled nursing! It’s rich feature set makes it ideal for a wide range of use cases. Join the tens of thousands who’ve already downloaded it for education, pre-admission estimates, IPA checks, triple-check, reference and clinical pathways.
The Power of the PDPM Primary Diagnosis
Since the inception of the PDPM, providers have grappled with the nuances of the new payment system in an effort to ensure that reimbursement accommodate the services that are provided to each resident. The challenge has been that the PDPM is nothing like the former RUG-IV system in which facilities were essentially paid for volume… Continue reading The Power of the PDPM Primary Diagnosis
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
PDPM Calculator & PDPM Navigator™ Updates for FY2021
We just updated the PDPM Calculator for CMS fiscal year 2021. The updates include: New wage indexing. New base rates New labor/non-labor split For those of you who use PDPM Navigator, those same changes are headed to your phone and/or tablet. iPhone users should see an update very early in the morning of October 1st.… Continue reading PDPM Calculator & PDPM Navigator™ Updates for FY2021