Welcome to the HealthPRO® Heritage Blog

CMS’ Newly Released Fact Sheets for PDPM: What Do You Need to Know?

Posted on: November 21, 2018

While we here at HealthPRO® Heritage are thankful for many things this holiday season, this week we were able to add one more item to our list of “thanks”! We are always so grateful when we come upon new information to share with each of you, but even more thankful when that new information is PDPM clarification that we have anxiously been awaiting. So, while you are enjoying some well-deserved quality time with your loved ones this holiday, here is some light reading for you to digest alongside the turkey and pie!

On November 19, 2018, CMS released nine updated “Fact Sheets” to clarify additional areas and help providers strengthen their understanding of the changes to come on 10/1/19. We have reviewed these thoughtfully-crafted Fact Sheets and here is what you need to know:

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

Nine (Really Important) Reasons Why Therapy Still Matters in PDPM

Posted on: November 1, 2018

Imagine a world where reimbursement isn’t based on managing treatment minutes. Instead, therapists are empowered with the freedom to care for residents and drive outcomes based exclusively on clinical need. Let’s face it: Therapy services and reimbursement under PPS has not always served our industry well.

HealthPRO® Heritage experts agree: CMS’ PDPM system will breathe new life into how, when, and why therapists deliver care. We are, in fact, excited for a new world where our success will be measured by the evidence-based therapy we provide and the outcomes we achieve on behalf of our clients and patients.

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

Which PDPM Therapy Pricing Method is Best?

Posted on: October 22, 2018

Since the RCS-1 Proposed Rule was released in Spring 2017, through the PDPM Final Rule and up to today, we’ve spent hundreds of hours thinking and pressure testing different ideas. We’ve had ongoing conversations with customers, colleagues, and consultants about PDPM therapy pricing. Our goal was simple: Develop a pricing approach which equally addresses and ensures the success of our patients, customers, and employees under PDPM. 

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

Do You Know How Much Rehab Your Facility Can Afford Under PDPM?

Posted on: October 11, 2018

Step one to ensuring your facility delivers positive patient outcomes, maintains regulatory compliance, and achieves financial viability in the New PDPM World is to perform a RUGs-to-PDPM Crosswalk on all your patients.

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

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

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?

NOW WHAT?
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: 

PREPARE. EXECUTE. SUCCEED. 

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

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