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Direct patients to Medicare resources during open enrollment

A State Health Insurance Program (SHIP) is an insurance counseling service that is provided free of charge by the Administration on Community Living in partnership with the Centers for Medicare & Medicaid Services as well as state aging agencies to help assist Medicare beneficiaries and their caregivers. By discussing coverage, cost and convenience, the goal […]

CMS’ October release of quarterly OASIS Q&As offer guidance on PDGM, OASIS-D1

The latest release of CMS OASIS quarterly Q&As delve into issues around the Patient-Driven Groupings Model (PDGM) and OASIS-D1 as well as GG items capturing mobility and self-care. The October 2019 Q&As — published to the CMS website Oct. 15 — include 37 questions and responses on a range of topics. PDGM was the dominant […]

Post-Acute Wound Management and Patient-Derived Reimbursement Models

Sponsored by - Synergy Wound Technology

By: Roger B. Schechter, MD, Fellow of American College of Wound Specialists; Chief Medical Officer, Synergy Wound Technology Wound care has always been a considerable challenge in the post-acute setting. Patients with skin breakdown usually have a plethora of chronic comorbid conditions. Chronic wounds themselves, including pressure injuries, diabetic foot ulcers, venous leg ulcers, severe […]

Study finds half of SNFs to be unprofitable

Approximately half of SNFs are not operating at a profitable level, according to the 34th SNF Cost Comparison and Industry Trends Report, released on October 10 by consulting firm CLA. The report found that the 75th percentile of SNFs had an operating margin of 4.5% in 2018, while the bottom 25th percentile had margins of […]

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5 Ways Interoperability Can Benefit Home-Based Care

Sponsored by - MatrixCare

By: Navin Gupta, VP, Home Health, Hospice & Private Duty, MatrixCare The digital age has created an overhaul of technology within the healthcare industry – transforming health records into collections of electronic data that should simplify administration processes for providers everywhere. But just because health records have gone digital, doesn’t mean it makes communication any […]

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 […]

Post-Acute Wound Management and Patient-Derived Reimbursement Models

Sponsored by - Synergy Wound Technology

By: Roger B. Schechter, MD, Fellow of American College of Wound Specialists; Chief Medical Officer, Synergy Wound Technology Wound care has always been a considerable challenge in the post-acute setting. Patients with skin breakdown usually have a plethora of chronic comorbid conditions. Chronic wounds themselves, including pressure injuries, diabetic foot ulcers, venous leg ulcers, severe […]

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.

What you need to know about the updated MDS items sets for 2019

Source: The Bottom Line CMS posted a new DRAFT version of the 2019 MDS item sets (v1.17.0) last week. This version is scheduled to become effective October 1, 2019, giving facilities until then to update their software with the new MDS questions and answers. Downloadable files can be accessed here: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIMDS30TechnicalInformation.html HCPro’s post-acute regulatory specialist […]