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
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
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
CMS moves the goalposts for Staffing Five-Star ratings
Many facilities will lose a Staffing star due to CMS’ increased emphasis on RNs in Staffing Five-Star ratings In its March letter to State Survey Agency Directors and related updates to the Five-Star Users Guide, CMS announced a series of changes to Nursing Home Compare and Five-Star ratings, including: Changes to the … Read More
[On-demand webinar] PDPM in the real world: Solutions and case studies
Don’t miss this unique opportunity to learn practical, real-world tips for PDPM preparation. By now you know “what” and “why” of the new Patient-Driven Payment Model, but what about the “how”? How can you ensure accurate diagnoses, manage changing per-diem rates and avoid the specter of audits? How can you … Read More