Tag: PDPM

PDPM exceeds CMS’ predictions in first billing cycle

PDPM recently completed the first billing cycle since its implementation in October. Data compiled by researchers at Z-CORE Analytics, LLC estimated the PDPM per diem rate for SNFs to be 5% more than CMS’ predictions. Researchers analyzed claims from more than 1,000 SNFs across 38 states and found that 91.5% of facilities had a higher […]

SNF employment rebounds after months of decline

An increase in SNF employment has occurred after several months of decline following the implementation of PDPM. SNFs added a reported 2,400 jobs in January, according to newly released data from the  U.S. Bureau of Labor Statistics’ latest jobs report. While it’s too early to determine if the increase in jobs will be a trend […]

SNF employment rates drop for third consecutive month

The decline of SNF staffing has accelerated for the third consecutive month, according to new data released by the U.S. Bureau of Labor Statistics (BLS). The 6,700 jobs lost in December are nearly quadruple the 1,700 positions lost in November and the 1,300 in October, as previously reported by the BLS. While it’s still unconfirmed […]

SNF employment dips in November

SNF employment dropped by 1,700 jobs in November, according to the recently released employment figures compiled by the Bureau of Labor Statistics. This marks the second month of SNF employment decline since the implementation of PDPM. While not necessarily to blame for the employment decline, there have been numerous reports of therapist layoffs since PDPM […]

CMS to host SNF open door forum

CMS has scheduled an SNF open door forum for Thursday, December 12. Topics discussed in the forum will include a PDPM update, and a FY 2020 SNF value-based purchasing (VBP) facility-level dataset and a SNF VBP aggregate performance review, followed by a Q&A session. To participate by phone, dial: 1-888-455-1397 and enter conference passcode: 4676500 […]

Nursing home employment rates decline in October

Nursing home employment rates declined in October, according to an update by the Bureau of Labor Statistics (BLS) released November 1. Although the report does not specify what caused the 1.3% dip, earlier reports of therapist layoffs seem a likely culprit for the dip in employment rates. This doesn’t necessarily mean that PDPM is to […]

Post-Acute Wound Management and Patient-Derived Reimbursement Models

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 […]

Therapist layoffs reported as a result of PDPM

Since the implementation of PDPM on October 1, thousands of therapists have been laid off, reports Modern Healthcare. The payment system prior to PDPM, RUG-IV, allowed SNFs to bill therapy services they deemed necessary, but some took advantage by ordering superfluous therapy services to gain additional reimbursement from Medicare. PDPM seeks to stop this practice. […]

Did you know? 2019 Revenue Integrity Symposium is this October

October 15-16, 2019 | Orlando, FL The Revenue Integrity Symposium is the can’t-miss event for revenue integrity, revenue cycle, and Medicare compliance education and high-level networking for acute and long-term care professionals. Learn from trusted experts with cutting-edge regulatory insight that will arm you with the tools you need to take 2020 by storm. By […]

CMS to hold SNF/LTC Open Door Forum

CMS will hold an open door forum on September 19 for SNFs and LTCs. Discussions will focus on: PDPM updates PBJ updates Policy Questions should be sent to: NHStaffing@cms.hhs.gov Technical Issues/Questions should be sent to: NursingHomePBJTechIssues@cms.hhs.gov PBJ Website MS-6058-FC Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process SNF […]