CMS has been clear that a major aspect to the design of the PDPM is payment that is quality informed. That cannot be overstated.
RCS-Done … Tech Support, please!
By
Renee Kinder
May 10, 2018
I was all ready for my presentation on RCS-I, and then I literally lost power and had the run yanked out from under me at the same time.
COVID-19 underscores PDPM advantages
By
Bent Philipson
Jan 27, 2021
The efficacy of the Patient-Driven Payment Model has never been clearer than now, in the middle of the coronavirus pandemic. PDPM enabled skilled nursing facilities to see a 9% increase in Medicare reimbursement...
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...
COVID-19 dealt a devastating blow to nursing homes — don’t let looming cuts make it worse
By
Cynthia Morton
Jul 12, 2021
In late June, the U.S. Department of Health and Human Services Office of Inspector General released a report stating that approximately 42% of Medicare beneficiaries in nursing homes were diagnosed with...
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...
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...
SNF Industry: It’s time for a PDPM ‘Come-to-Jesus’
By
Renee Kinder
Oct 11, 2018
I have, unfortunately, heard some off-track conversations about the “goals” and “outcomes” of what the Patient-Driven Payment Model will do to the industry. To say I have been shocked, appalled...
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...
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...