Welcome to the HealthPRO® Heritage Blog

Give a Little to Get a Lot: Nursing, PDPM, and Documentation ReDesign

Posted on: April 1, 2019

CEOs, NHAs, and DONs take note!  With the new PDPM paradigm, you’ll be asking your nurses to:

  • Continue to drive quality measures, star ratings, survey results, satisfaction scores, etc.
  • Care for higher acuity patients; and
  • Adopt very different documentation practices.

All of these requisites are vitally important to your facility’s success under PDPM. But perhaps the most challenging change for Nursing teams (who really just want to be patient caretakers, right?) will be #3 on this list. 

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Tags: CMS, CMS policy, Payment Reform, Patient-Driven Payment Model, PDPM, CMS Update 2019

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

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

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

CMS Releases Proposed Payment Reform Model

Posted on: April 30, 2018

Communication Is Key to Success!
HealthPRO® Heritage is preparing initial training/details related to Friday’s CMS announcement, as well as details related to our philosophy and strategy for tackling the New World of payment reform. Our management teams will participate in internal trainings this week so we are best able to answer your questions and support your strategy.

Register now for our webinar on Friday, May 4, 2018 at 12:00 PM EST.


On Friday, April 27, Centers for Medicare and Medicaid Services (CMS) released the 2019 Proposed Rule. Our industry has been anxiously awaiting this announcement since April 2017’s Advanced Notice Pre Rulemaking (ANPRM) which proposed the Resident Classification System, Version 1 (RCS-1).

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Tags: CMS, snf, RCS-1, CMS Update 2018, Patient-Driven Payment Model, PDPM

March 2018 Advisor

Posted on: March 7, 2018

New Medicare Card Update

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Tags: CMS, Long Term Care, Safe Transitions, CMS Update 2018, Care Delivery, Medicare Card Update, Rules of Participation

Make The Choice To Prepare

Posted on: February 16, 2018

Our ongoing efforts to prepare for payment reform has led HealthPRO/Heritage to develop the industry’s most informative RUGS to RCS-1 reimbursement crosswalk, allowing providers to see both patient and enterprise level reimbursement impacts and identify specific areas of risk and opportunity. This will help establish strategic processes for operational changes that minimize risks and help providers successfully navigate this fundamental payment shift.

We encourage providers to:

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Tags: CMS, RCS-1, CMS Update 2018, Payment Reform

Therapy Cap REPEALED!

Posted on: February 9, 2018

GREAT NEWS! The cap on therapy services for Medicare beneficiaries has been repealed. We thank everyone who petitioned their respective legislators to help achieve this important legislative victory.

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Tags: CMS, Therapy Cap, CMS Update 2018

January Advisor Newsletter

Posted on: January 26, 2018


Attention: CMS has released updated quality measure star ratings for all LTC providers. The Nursing Home Compare site was updated January 24, 2018.



RCS-1: Get Ready, While We Watch & Wait

HealthPRO®/Heritage continues to lead the industry in preparation for RCS-1 as we prepare for a likely reimbursement system overhaul.

Based on the fact that CMS received a high volume of comments from industry stakeholders during the extended public comment period through August 2017, we expect there will be some changes to the Advance Notice Proposed Rulemaking (ANPRM) regarding the complete overhaul of PPS. We do know that payment reform is coming, and we must be prepared for a big change in our industry. We will stay close to the proposed changes to be released in April 2018. 

HealthPRO®/Heritage strategy is to watch, to wait and to BE PREPARED! The providers who come out on top will be the ones most well prepared to weather the transition, should the system change occur as scheduled on October 1, 2018.

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Tags: CMS, HealthPRO/Heritage, senior living, Home Health, RCS-1, Nursing Home Compare Website, Bundled Payments, BCPI, Bundled Payment for Care Improvement Advanced

November Advisor Newsletter

Posted on: November 10, 2017

IMPORTANT REMINDER: November 16 is the deadline for submitting staffing data for the period of July 1 to September 30. Providers that miss this deadline are subject to suppression of your “Overall Staffing Rating” and “Registered Nurse Staffing Rating” for the December 2017 Nursing Home Compare update.

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Tags: skilled nursing facility, CMS, Long Term Care, Advisor Newsletter, Advisor, Home Health, QAPI Plan