A new federal review process designed to lower the rate of improper government payments is sending provider staffs scurrying to justify their coding.
Refocus on capturing PDPM drivers to improve care, quality and reimbursement
By
Jim Shearon
Sheryl Rosenfield
Apr 13, 2021
With the prioritization of COVID-19 vaccinations in nursing facilities since late December, facilities nationwide have seen a significant decline in both new cases and deaths among resident populations....
Understanding PDPM in value-based purchasing
By
Joel VanEaton
Jul 15, 2019
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.
Latest MDS update could leave providers in ‘limbo,’ expert says
By
Danielle Brown
May 19, 2020
The Centers for Medicare & Medicaid Services has updated MDS 3.0 items (version 1.17.2) along with related technical data specifications. But providers could be left in “limbo” as they await for more...
CMS leaning on providers to form new PDPM pay rates
By
Danielle Brown
Sep 16, 2021
The Centers for Medicare & Medicaid Services is relying on data metrics regarding trends or changes in provider behavior, payments and beneficiary care quality as it considers potential adjustments to...
NASL — the little engine that does
By
James M. Berklan
Oct 03, 2018
The National Association for the Support of Long-Term Care is currently enjoying its moment in the sun, in more ways than one.
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...
LTC truths you just can’t ignore
By
James M. Berklan
Nov 07, 2018
I bring you some of the striking tidbits from frantically filed notes on the road that might or might not have already seen the light of day. Some of this is just too good not to share, or share again.