Welcome to the HealthPRO® Heritage Blog

Are You Ready for the Upcoming October MDS Changes?

Posted on: May 30, 2018

CMS recently announced the proposed Patient-Driven Payment Model (PDPM) and it was a flurry of, “what happened to the RCS-1 proposal?” Add this to ongoing MDS RAI Manual updates and CMS appears to be in lockstep with refining the way it collects and analyzes clinical data through the completion of the MDS assessment, and how this will implicate provider reimbursement.

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

Mechanically Altered Diets & Swallowing Disorders under PDPM

Posted on: May 25, 2018

Under the new Patient-Driven Payment Model or PDPM, CMS has admitted to keeping an eye on a potential increase in mechanically altered diets.

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Tags: skilled nursing facility, CMS, snf, RCS-1, Patient-Driven Payment Model, PDPM

PEPPER Adds Seasoning to Bundled Payments and Reimbursements

Posted on: May 16, 2018

If you are all over your PEPPER (Program for Evaluating Payment Patterns Electronic Report), you probably noticed the most recent release for Q4 2017 shows a new risk for improper payment – the 20-day episodes of care.

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Tags: snf, SNF Operators, LTC provider, Bundled Payments

Overwhelmed By the Newly Proposed CMS Payment System?

Posted on: May 10, 2018

Unaware that CMS has proposed a new payment system for our fee for service (FFS) residents?  Don’t worry, we read the entire Proposed Rule and have everything ready for you. If you haven’t seen our most recent Advisor for a quick “what’s this PDPM all about?”, click here.  We were swift with putting together all of the details in a webinar for our current and potential partners – you can watch the recording here if you missed it. 

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Tags: skilled nursing facility, snf, RCS-1, Patient-Driven Payment Model, PDPM