Welcome to the HealthPRO® Heritage Blog

Senior Living: Staying the Course?

Posted on: June 28, 2018

As we continue to grow in the senior living marketplace as quality care providers of outpatient therapy and home health, we continue to see assisted living providers staying the course. They are not adapting or changing based on everything going on around them. Today is a very unique time for senior living providers. They have a huge opportunity to adapt to changing hospital and skilled nursing facility (SNF) partnership needs. Many assisted living providers respond, “But we are assisted living. That doesn’t impact us.”

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Tags: Senior Living Community

Non-Therapy Ancillaries: Paving the Way for Patient Care Under PDPM

Posted on: June 26, 2018

What exactly are Non-Therapy Ancillaries, otherwise known as NTA’s?

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

SNF Public Reporting is Ramping Up

Posted on: June 22, 2018

More data is almost ready to go public on the quality of care you provide – have you reviewed it?

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Tags: CMS Update 2018

Targeted Probe and Educate Audits Are Here: Are you at Risk?

Posted on: June 22, 2018

MAC’s, otherwise known as Medicare Administrator Contractors or fiscal intermediaries, are beginning to reach out to providers to inform them that they are being reviewed as a part of their new auditing process: Targeted Probe and Educate audits, otherwise known as TPE audits. Sounds unnerving, right? Do you know if you are at risk? We’ll tell you some of the behaviors that are landing providers into this group and what you can do to ensure you are prepared if you do receive word you are in one.

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Tags: TPE, Audits, CMS Update 2018

Around the River Bend: Purposeful Communication for Upstream/ Downstream Partners

Posted on: June 19, 2018

Question: What keeps you up at night?

For many of our partners the answers would surround census. Growing the census. Maintaining the census. Diversifying the census. All things census!

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Tags: Care Continuum

CMS is Dedicated to Making Payment Reform Happen

Posted on: June 14, 2018

If you are not convinced that the Patient-Driven Payment Model (PDPM) is coming, then you have not been paying attention to everything CMS is doing surrounding payment reform. CMS is all over PDPM, by not only releasing the provider specific impact file back in April and expanding it from the original RCS-1 provider specific impact file produced in 2017, by including case mix and other imperative data points around each of its components, but by already updating some minor items in the tools released in April. A version two of the following documents have been released and are attached in this blog for your convenience. The Centers for Medicare and Medicaid Services (CMS) highlighted those changes nicely:

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

Struggling with Census? Let's Examine Your Referrals

Posted on: June 13, 2018

Every time I have a conversation with an administrator about census-related challenges in the nursing home, the first questions I ask are:
1. Are you tracking your referrals? Show me the data around this.
2. Who are you accepting and who you are denying?
3. What are the reasons for the denials – specifically?
4. Taking it one-step further, how quickly are you accepting?

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Are You a Home Health Provider Struggling with Physician Communication?

Posted on: June 8, 2018

If you’re struggling with physician communication, you’re not alone. We know that communication leads to better care coordination. That is a no brainer. Yet, we continue to see communication challenges in home health (and other areas) because of regulations, documentation requirements, and a million other things. If we had well-coordinated care and best practice communication strategies, there would be less discrepancies in medication lists and more time and complete access to hospital records among other things. This would allow our clinicians the ability to hit the ground running with individualized care from the start.

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Tags: Care Continuum, Home Health