Are you ready for MDS 3.0 v1.19.1? Next Fall, more data set changes are in the works. In the FY 2024 Final Rule, CMS adopted the COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date (Patient/Resident COVID-19 Vaccine) measure into the SNF QRP. This new measure will affect the QRP APU starting FY 2026.… Continue reading Are you ready for MDS 3.0 v1.19.1?
Tag: reimbursement
North Carolina Medicaid
It’s been a while since we focused on North Carolina Medicaid. There is actually a lot going on. We going to cover some of it today. Some reference material that will be handy for this post are the current rates. You can download those here. COVID-19 Add-On Currently all Medicaid paid days include an add-on… Continue reading North Carolina Medicaid
All 9 MDS 3.0 v1.18.11 DRAFT Item Sets Released!
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!
BRR Insiders Final Rule Series: deep dive into the expanding VBP program
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…...
Georgia on my mind
I love Georgia peaches. In fact, I was lamenting that it was much too early for fresh peaches while at the GHCA winter convention a few weeks ago. (The peach cobbler was outstanding though.) The first bite of those famous southern summer peaches is a tasty treat. Recently, we have been biting into some pretty… Continue reading Georgia on my mind
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?
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!
What does a 9% CPT code revenue reduction mean?
Tomorrow, the 18th of December, 2020, we will find out if rehab gets a 9% rate reduction for CPT codes (essentially Part B therapy) OR do we “kick the can down the road” for 2 years. This brings up a number of good questions we could spend hours pontificating over a bottle of good wine… Continue reading What does a 9% CPT code revenue reduction mean?
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