Welcome to the HealthPRO® Heritage Blog

PDPM: Go Big or Go Home

Posted on: October 1, 2018

With exactly one year to go, how will you prepare for PDPM? 

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

Not Getting All of Your 2% Withhold Back in Revenue Starting this October?

Posted on: September 24, 2018

Success or failure for SNFs will hinge directly on hospital readmission rates (& other performance metrics, too!)

What’s This About 2% of My Revenue?

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Tags: SNF VBP, SNF Operators

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

Posted on: September 14, 2018

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

Posted on: September 4, 2018

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

From PDPM to PDGM: Home Health in the Hot Seat

Posted on: August 30, 2018

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: CMS Update 2018, Home Health, PDGM

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

Posted on: August 24, 2018

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

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

What is the Key to Successfully Navigating the PDPM Transition?

Posted on: August 15, 2018

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

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

Posted on: August 9, 2018

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?

Posted on: August 6, 2018

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: CMS Update 2018, SNF VBP

Final Rule Released: Game On

Posted on: August 1, 2018

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