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
Forecast PDPM reimbursement with SimpleAnalyzer™
With the powerful new PDPM tools built into SimpleAnalyzer™, you can leverage the clinical intelligence within your MDS data to prepare for success under the new patient-driven payment model. The new PDPM functionality in SimpleAnalyzer™ allows you to: Forecast and track PDPM reimbursement levels over time Explore and optimize the … Read More
Look out for falling stars! CMS just moved the target for Five-Star QMs again
It’s been less than three years since our “Falling Stars” blog post announced that CMS Five-Star ratings were dropping industry-wide. Get ready — it’s about to happen again and at a larger scale. Read on to learn what CMS just changed and how you can take proactive measures to maximize … Read More
PDPM: 1 important thing to begin doing now
Beginning Oct. 1, 2019, the new Patient-Driven Payment Model (PDPM) will shift the way your skilled nursing facility is reimbursed for Medicare A services. PDPM will replace the current RUG-IV system, introducing a whole new way to calculate SNF reimbursement. The current RUG-IV system incentivizes the use of therapy minutes … Read More
CMS off-cycle update affects claims-based measures
On Monday, Nov. 26, CMS alerted providers via their CASPER Five-Star Report that CMS had performed an off-cycle update to the claims-based scores in November. This update affects the outcomes of three claims-based measures: Re-Hospitalized After SNF Admission Outpatient ER Visit Discharged to Community According to CMS: “…It is not … Read More