Latest Articles

CMS releases SNF Provider Preview Reports

CMS recently released the updated SNF Provider Preview Reports. Based on quality data submitted by SNFs, the reports include assessment-based quality measures recorded between Q1 2018 and Q4 2018 and claims-based quality measures recorded between Q4 2016 and Q3 2018. SNFs have the opportunity to review their performance data until September 16. While corrections to […]

CMS announces SNF Value-Based Purchasing (VBP) initiative miscalculation

CMS announced on August 22 that it incorrectly calculated baseline performance rates for the SNF Value-Based Purchasing (VBP) initiative, according to a report from LeadingAge. The first results published in fall 2018 showed that 73% of SNFs lost money under VBP, and only 27% received money back from Medicare. However. these results are no longer […]

AHCA awards five long-term and post-acute care providers with Gold Quality Award

The American Health Care Association (AHCA) and National Center for Assisted Living (NCAL) recently awarded four SNFs and one assisted living community their highest accolade, the Gold Quality Award. For SNFs to be considered for this award, they must “have invested multiple years in mastering and applying the rigorous quality improvement standards of the Baldrige […]

CMS posts webinar on Primary Care First Seriously Ill Population Model

CMS has set out to provide further information regarding the Primary Care First (PCF) Seriously Ill Population (SIP) model option with a two-part webinar series, hosted by the PCF Model Options Team. The model “encourages advanced primary care practices, including providers whose clinicians are enrolled in Medicare who typically provide hospice or palliative care services,” […]

Most Popular

OIG releases new report, prompting CMS to publish new fact sheet for 3-day rule

The HHS Office of Inspector General (OIG) has released the “Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs: Top Unimplemented Recommendations” which includes eight recommendations to CMS regarding Medicare Parts A and B: CMS should analyze the potential impacts of counting time spent as an outpatient toward the 3-night requirement for skilled nursing […]

CMS releases tables detailing the 2019 quality measures for home health

Source: Home Health Line CMS has published updated details on potentially avoidable events, process and outcome measures for 2019. The updated tables also include details on star-ratings measures and quality measures new to Home Health Compare in 2019. Claims-based outcome measures “Medicare spending per beneficiary” and “Discharge to community” are joining the ranks of publicly […]

PDPM Q&A: Payment overview and billing

CMS has released its FAQ sheet on PDPM: Q. What is PDPM? A. The Patient Driven Payment Model (PDPM) is a new case-mix classification system for classifying skilled nursing facility (SNF) patients in a Medicare Part A covered stay into payment groups under the SNF Prospective Payment System. Effective beginning October 1, 2019, PDPM will […]

Intake and output monitoring

You should monitor residents who have fluid imbalances or are at high risk of dehydration by calculating intake and output (I&O) each shift.