Welcome to the HealthPRO® Heritage Blog

2019 Year in Review

Posted on: December 6, 2019

What's been on your mind? 
More than 90,000 visitors have clicked through HealthPRO® Heritage resources to access updates & advice from our subject-matter experts. 

Don't miss out on today's most relevant topics! Click on the blog titles below: 

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

Emerging Trends: Coding Under PDPM

Posted on: November 14, 2019

More than 70% of hospitals outsource at least a portion of coding duties to professional Certified Coders. This fact begs the question: Why shouldn’t skilled nursing operators also seek out the expertise of professional coding experts to optimize coding? After all, accurate, optimal, and timely coding is critical to PDPM success!

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Tags: Patient-Driven Payment Model, PDPM

Measuring Success & Emerging Trends Under PDPM

Posted on: November 7, 2019

We all survived the PDPM transition on October 1. Now what?

As the dust settles, SNFs may be wrestling with an important question: How will the industry define and measure success under PDPM & Beyond?

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Tags: snf, Patient-Driven Payment Model, PDPM

Finger on the Pulse: Initial Reactions to PDPM & Updates from the Front Line

Posted on: October 15, 2019

Gut-Check Survey Results + Feedback from the PDPM Front Line
HealthPRO® Heritage launched a survey – “PDPM Gut-Check” – to capture how the industry is feeling about the new reimbursement system.  Here’s what you and your peers had to say.

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

An Industry Gut-Check: What's Your PDPM Confidence Level?

Posted on: October 1, 2019

Now is the time for our industry to over-communicate!  Put your two cents in, and learn more about what your peers are thinking, feeling, and what’s keeping them up at night, too. 

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

How to Choose (and Be) a Good Strategic Partner

Posted on: August 29, 2019

Recent CMS initiatives have created an interesting dynamic in the post-acute care industry:  Providers across the care continuum are being incentivized to form strategic partnerships and hold each other accountable for delivering efficient, enhanced patient care. 

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Tags: CMS, senior living, Home Health, Skilled Therapy, Patient-Driven Payment Model, PDPM

Considering In-House Therapy? The Good, the Bad, and the Ugly

Posted on: August 15, 2019

As one of the first therapy companies to specialize in management services for in-house therapy programs, HealthPRO® Heritage was founded 20+ years ago and has since evolved into one of the most prominent, privately-owned therapy AND consulting firms in the country. This article offers SNF providers the benefit of our years’ experience and insight into how PDPM will certainly pressure-test delivery of rehab services – especially for in-house therapy programs.

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

CMS' Final Rule is Here!

Posted on: July 31, 2019

Tuesday was the day! On July 30, CMS released the FY 2020 Final Rule for Medicare payment rates and quality programs. This is the moment we have all been waiting for. PDPM is 9 short weeks away, and the industry finally has clarifications RE: the new payment model.

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

Struggling to Define Success Beyond PDPM? Sustaining QMs is the Solution!

Posted on: May 30, 2019

SNFs have been bombarded with changes to many key performance indicators – such as Quality Measures, Five Star Ratings and the Quality Reporting Program – and will be expected to sustain and even grow quality improvements over time.  Read up on all the new changes here. (And have you heard the latest: CMS recently implemented a process whereby the QM thresholds will increase by 50% of the average rate of improvement in QM scores.)  

Based on these obvious smoke signals from CMS, the industry pundits foresee: Quality Measures just might be CMS’s way of monitoring for appropriate levels of skilled rehabilitation services after the October 1 transition to PDPM.   

In light of this prediction, consider your facility’s QM performance in highly monitored areas – such as skin integrity, falls, ADL performance, weight loss, functional mobility, pain, etc. 

Ask:  Are these areas recurrent concerns for your SNF?  

If so, HealthPRO® Heritage advises:

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

Restorative Nursing Under PDPM: Looking for Answers?

Posted on: May 16, 2019

We can all agree: the value of a solid, efficient Restorative Nursing Program for SNFs should not be underestimated!

There’s a lot of BUZZ in the industry about increasing restorative programming in preparation for PDPM. Many SNFs have Restorative Nursing programs. Many do not. Some have a program, but it doesn’t function the way it should.

Here’s the stone cold truth…
Restorative Nursing may (or may not) make sense for your organization. Hear us out. 

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Tags: Patient-Driven Payment Model, PDPM, CMI, Case Mix Index, Restorative Nursing, Restorative Nursing Program