CMS FY 2021 will be here in a few short days and with it the changes that have been finalized by CMS in the final rule on July 31st. One of the important changes that will occur this year has to do with the wage index. The wage index is an adjustment made to the… Continue reading Wage Indexes are Changing. Get Ready for Yours!
Tag: reimbursement
$59/Day: Good, Great and Shameful
When $59 per Day, per PDPM Patient is a Good Thing When $59 per Day, per PDPM Patient is a Great Thing When $59 per Day, per PDPM Patient is a Shameful Thing I have been in the management of therapy delivery in SNFs for a very long time. I have seen, and probably know,… Continue reading $59/Day: Good, Great and Shameful
MDS v1.17.2 – What Changed?
This week, CMS surprised us with a revised version of the MDS that will be effective this fall for FY 2021. It is a surprise because nothing about this particular change was mentioned in the proposed rule posted in April. CMS has indicated in the May posting on the MDS Technical Information page that in… Continue reading MDS v1.17.2 – What Changed?
PDPM Navigator™ PRO Version 1.1.1 Released
Yesterday we released an update to PDPM Navigator™ PRO which will allow you to save cases. This has been requested by quite a few of you so we’re excited for you to try it. (Note: this feature is for PROs only. If you’d like the PRO version of PDPM Navigator™, it’s available for free to… Continue reading PDPM Navigator™ PRO Version 1.1.1 Released
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!
“Big Data”, Artificial Intelligence and Skilled Nursing
Artificial Intelligence (AI) and big data have hit the mainstream. Whether it’s the amazing advances in image recognition or sentiment analysis or shockingly accurate and timely friend suggestions and targeted ads. CMS has even launched the “Artificial Intelligence Health Outcomes Challenge”. More information is available here. The purpose of the project is to predict unplanned… Continue reading “Big Data”, Artificial Intelligence and Skilled Nursing
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…
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
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