Audits are a necessary evil in the Medicare world. CMS performs audits to prevent healthcare fraud and abuse. As a result, providers are subject to scrutiny and potentially negative financial consequences. Now that the Patient-Driven Payment Model (PDPM) is almost upon us, it’s important to look at ways you can … Read More
[Webinar] Trauma-informed care: Identifying and treating residents who have experienced trauma
Beginning Nov. 28, Phase 3 of CMS Requirements of Participation (RoPs) will require SNFs to identify individuals with traumatic life events, both recent and in the past. Once identified, providers will be responsible for implementing a trauma-informed approach to resident care. This brings up some complicated questions: When does distress … Read More
QRP Review and Correct Reports now available in SimpleConnect™
It’s back! The deadline for transmitting any MDS modification assessments for Quality Reporting Program (QRP) calculations is May 15, 2019. For the data collection timeframe of Oct 1, 2018 – Dec 31, 2018, nursing facilities will have until 11:59 PM on May 15th to transmit MDS modifications to ensure compliance … Read More
[Free webinar] Countdown to Oct 1: PDPM coding tips for MDS and ICD-10
PDPM is only 146 days away! Are you wondering how you will get everything and everyone ready by then? Don’t fret — we’ll help you prepare for the upcoming changes. On Oct. 1, PDPM and the newest version of the MDS 3.0 Item Set both go into effect. Accurate coding … Read More
CMS did it again! Here’s why your star rating just dropped…again
As we discussed in our recent Falling Stars blog post, CMS has adopted an aggressive approach in managing the Five-Star Quality Rating System. Their overall goal is to realign the star rating calculations and provide a more accurate overall rating system for SNFs. As our article mentioned, going forward CMS … Read More