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.Read More
Welcome to the HealthPRO® Heritage Blog
Posted on: April 25, 2019
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…Read More
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.Read More
Posted on: April 11, 2019
Think about a task you routinely complete: yardwork, cooking a meal, or a project at work. Now imagine asking a friend or co-worker to pick up a rake or join you in the kitchen. Your results: being able to complete the same tasks with improved efficiency and even better outcomes.
Apply this thought-process to providing world-class rehab services for the patients in your care. Research supports: There’s strength in numbers!
The post-acute world is looking forward to new rules. Learn more about best practices and potential pitfalls RE: Group Therapy Under PDPM.
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.Read More
Posted on: March 21, 2019
Posted on: March 14, 2019
It seems everyone’s roles are changing with the onset of PDPM. Even referring clinicians (MDs, NPs and PAs) who send their patients to a skilled nursing facility will need to commit to a new more comprehensive, faster-paced process.Read More
Posted on: March 1, 2019
McKnight's Long-Term Care News recently featured an article – "PDPM Has Possibilities" – with input from HealthPRO® Heritage's Hilary Forman, Chief Clinical Strategies Officer and Ian Tucker, VP of Clinical Informatics and Product Management:Read More
Posted on: February 21, 2019
Reminder: HealthPRO® Heritage customers can participate in the second webinar of our PDPM University series:
DEEP DIVE INTO NTA AND NURSING COMPONENTS • 1pm EST
Contact email@example.com for more information.
Under PDPM, CMS has broken the singular nursing component of RUG-IV into two separate components – Nursing and Non-Therapy Ancillary (NTA) – to adeptly account for the wide-ranging variations within the skilled population. This change represents a very different and much-needed approach to efficiently managing patients with higher complexity and/or multiple conditions. It also opens many doors of opportunity for providers and patients alike. For example, providers will now be able to identify specific groups of conditions – and subsequently build specialized care programs recognized by referring hospitals as best practice.
So this all makes sense, and there’s nothing to worry about. Right? Not so fast!Read More
Posted on: February 15, 2019
In today’s world of Medicare, the use of cognitive testing – specifically the Brief Instrument for Mental Status, or BIMs – is completed in order to satisfy Section C: Cognitive Patterns on the Minimum Data Set (MDS) to effectively guide care planning for residents with confusion or a cognitive impairment.
Under PDPM, cognitive testing will become more important. Knowing whether a resident has a mild-to-severe cognitive impairment will truly impact:
- Care planning and the interdisciplinary team’s approach, and
- SNF revenue – by increasing the Case Mix Index related to the SLP component under PDPM (because a cognitive impairment requires more resources, it will therefore will pay more in the new system).