Welcome to the HealthPRO® Heritage Blog

SNF Proposed Payment Updates

Posted on: April 25, 2019

Today, CMS published the FY 2020 Skilled Nursing Facility Proposed Payment System (SNF PPS) in the federal register. It contains the SNF PPS payment update is 2.5% for FY 2020, which is an increase in payments of $887 million, compared to FY 2019.  This estimated increase is attributable to a 3.0 percent market basket increase factor with a 0.5 percentage point reduction for multi-factor productivity adjustment.

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

Get Ready for PDGM

Posted on: April 25, 2019

Sign up for our latest PDGM webinar on May 15, 2019 at 1pm EST, "PDGM – Risks, Opportunities, Solutions!" 

The implementation of the new case-mix classification model, the Patient Driven Grouping Model (PDGM) on January 1, 2020 will bring BIG changes to the Home Health profession!  HealthPRO® Heritage at Home (HHH) is getting ready today.  Contact us at homehealth@healthpro-heritage.com to learn more about how we can help you prepare for the most dramatic Medicare reimbursement change since PPS.

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Tags: PDGM, CMS Update 2019, Patient-Driven Grouping Model

And the Winner Is... Update from CMS Regarding PDPM

Posted on: April 20, 2019

Late Friday afternoon, April 19, CMS released the FY 2020 SNF PPS Proposed Rule, specifying a few changes for the Patient-Driven Payment Model (PDPM). HealthPRO® Heritage is looking forward to reporting out on all the modifications, but can’t wait to share the following good news…

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

QRP and QMs are Changing with the Times. Are You?

Posted on: April 18, 2019

As of April, CMS has implemented important modifications for the Quality Reporting Program (QRP) and Quality Measures (QMs) that may have significant fiscal, clinical, and compliance implications as well. Not only will these changes enable CMS to better monitor SNF outcomes, the modifications raise the bar on performance measures and will challenge SNFs to drive care differently. 

What should SNFs know?  HealthPRO® Heritage offers guidance. 

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

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