Welcome to the HealthPRO® Heritage Blog

How to Use an Onsite Therapy Program to Increase Occupancy in Assisted and Independent Living

One Very Important, Creative Solution for Forward-Thinking Senior Living Communities

YOUR GOAL is to attract new residents and to preserve occupancy keeping them happy & healthy and aging in place.

YOUR CHALLENGE is executing on unique, tangible initiatives that differentiate your community from market competitors.

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Tags: census development, senior living, occupancy

At the Intersection of RUGS IV and PDPM: A Crosswalk Worth Asking About

Introducing the “PDPM Crosswalk” from HealthPRO® Heritage!

HealthPRO® Heritage has built a tool to help SNFs understand their very own financial future post-PDPM. 

Question Worth Asking: What is the first step in preparing for PDPM?

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Tags: CMS, CMS Update 2018, Patient-Driven Payment Model, PDPM

From PDPM to PDGM: Home Health in the Hot Seat

How Will the Recent Home Health Proposed Rule Affect the PAC Industry?

PDGM (Patient-Driven Groupings Model) was recently announced in July as part of the Proposed Rule published by CMS and is anticipated to be THE biggest change in home health reimbursement 20+ years!

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Tags: Home Health, CMS Update 2018, PDGM

What are the "Do's and Don'ts" for PDPM Success?

HealthPRO® Heritage Announces Our Top 10 “Do” List for PDPM Success

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Tags: CMS Update 2018, Payment Reform, Patient-Driven Payment Model, PDPM

What is the Key to Successfully Navigating the PDPM Transition?

With only 14 months to prepare for the industry’s biggest change in 20 years, HealthPRO® Heritage offers this advice:  Don’t be overwhelmed by the complexities of PDPM.  Instead: 


To successfully navigate the transition to PDPM, providers can focus TODAY on developing & honing very specific core competencies without impacting their performance under the current RUGS.    

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Tags: CMS Update 2018, Payment Reform, Patient-Driven Payment Model, PDPM

New Long Stay Quality Measures (QMs): Unplanned Hospitalizations or Outpatient Observation Stays

Hear Ye, Hear Ye! The new Long Stay Quality Measure for hospitalizations are to be posted on Nursing Home Compare in October 2018. The formal name for this measure is Number of Hospitalizations per 1,000 Long-Stay Resident Days.

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The VBP Score Reports Are Published: Now What?

CMS released 2019 SNF Value Based Purchasing (VBP) Score Reports on Friday, August 3.

The Score Report identifies whether SNFs are eligible for any portion of the 2% withhold of the Medicare Fee for Service revenues this October.

The implications are critical. Two percent (2%) of your Fee for Service Medicare revenue will be withheld, a potential negative impact exists on revenue and/or budget (if the 2% was not considered in budgeting processes for Q4 2018). Do you know if you will receive any incentive payments based on your performance in CY 2017?

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Tags: SNF VBP, CMS Update 2018

Final Rule Released: Game On

Final Rule Indicates PDPM Transition is “A Go!”
No Significant Changes

According to CMS’ Final Rule released July 31, PDPM (Patient-Driven Payment Model) will replace the current RUG-IV system – as originally proposed – on October 1, 2019.

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Tags: CMS Update 2018, Payment Reform, Section GG, Patient-Driven Payment Model, PDPM

Introducing HealthPRO® Heritage's new weekly blog series: "QUESTIONS WORTH ASKING"

You work hard: To stay on top of your game in an industry wrought with complexity, change and challenges.

You ask: What questions should you be asking your team? What questions should you be asking yourself? What are the key success drivers for 2018 and beyond?

You wonder: Can a blog offer you valuable intel related to the future of your community? Yes! Check in every week for ideas to jump-start strategic thinking in areas that drive success now and into the future:

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Tags: Care Continuum, Update, CMS Update 2018, Payment Reform, Patient-Driven Payment Model, PDPM

PDPM & PDGM: Let's Break Down the Confusion...Pt 2

If the 2019 proposed rule is finalized, which we anticipate is likely, it will cement the shift in Medicare’s payment system from a prospective payment system to value based purchasing model.  With these mega changes it can feel like a daunting task to provide clinical excellence while maintaining a profit, thus it will be paramount that detailed analysis and strategies be developed to ensure that we keep patient care as our number one priority.

Following a thorough review of the 599-page “Proposed Rule”, HealthPRO® Heritage experts offer the following highlights on the PDGM section of the rule:

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