I remember when the Patient Driven Payment Model rule was just a proposal inching its way toward finalization, its concept of assigning points for specific non-therapy ancillary costs a pretty exciting...
Unraveling the impact: PDPM Medicaid case-mix index and potential Five-Star Rating challenges
By
Steven Littlehale
Mar 01, 2024
The landscape of Medicaid reimbursement for nursing homes is undergoing significant changes. Presently, eight states have adopted the PDPM case-mix index (CMI) model, and an additional 31 states are set...
Ready, set, review!
By
Renee Kinder
May 11, 2023
We’ve all been waiting for this. We knew it was coming! What am I speaking of? The May 4, 2023, notice of Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review, of course! Since the initiation...
MDS meets VBP: I love a good value, don’t you?
By
Joel VanEaton
Oct 10, 2022
I love a good value, don’t you? It’s hard to find one these days in this economy. Recently a friend of mine purchased a used vehicle from a reputable local dealership. Within a week, the engine...
Final pay rule and rates: A primer for rehab professionals
By
Renee Kinder
Sep 01, 2022
The October 2019 industry shift to the Patient Driven Payment Model allowed all rehabilitation professionals the opportunity to document specific clinical characteristics about the patients we serve and...
The PDPM EDGE: New therapy model research study results
On PDPM cuts, Congress ‘stands ready’ to exert its authority — but where’s the checkbook?
By
Kimberly Marselas
Jul 05, 2022
Providers will no doubt be overjoyed to learn today that members of Congress — a whopping 40 of them! — are stepping into the fray over proposed cuts to the nursing home sector’s new payment model....
Long-term care: a bear or bull market?
By
John O'Connor
Apr 18, 2022
When it comes to the long-term care market, is this a time to view it as bearish or bullish?
The top lessons learned from the AHCA’s 2021 Convention and Expo
By
Tamar Abell
Nov 05, 2021
Attending the American Health Care Association’s (AHCA) 2021 Convention and Expo this year felt like reuniting with friends after spending two years on the frontline of a battlefield. The...
The data is in! More trends from CMS ResDAC
By
Renee Kinder
Sep 09, 2021
All data lovers you are in luck! Another quarter of data is in, courtesy of the CMS Research Data Assistance Center (ResDAC). We have all watched trends since the initiation of the Patient Driven Payment...