Welcome to the HealthPRO® Heritage Blog

Important Payroll Based Journal (PBJ) Update

Posted on: September 29, 2017

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Tags: Payroll Based Journal, Update, CMS Update 2017, Advisor Newsletter, Advisor, CMS, Payroll Based Public Use File, Long Term Care Facilities, Long Term Care, CMS-671 Form, Five Star Quality Rating System, 5 Star Quality Rating System, Nursing Home Compare Website

Advisor Newsletter - September 2017

Posted on: September 26, 2017

RCS-1 Reimbursement Crosswalk ModelLooking for Guidance on Jimmo v. Sebeilus?Countdown to Major Home Health Changes

RCS-1 Reimbursement Crosswalk Model
HealthPRO®/Heritage has developed a proprietary, sophisticated RCS-1 Reimbursement Crosswalk Model that will help us work strategically with partners to assess aggregate reimbursement risk and understand the interplay between nursing and therapy reimbursement components. The model is dynamic, allowing behavior changes to be modeled so providers can see the impact of specific elements that significantly drive reimbursement under RCS-1 (e.g.: such as diagnostic coding, cognitive assessment, and ADL scoring).

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Tags: Advisor, Advisor Newsletter, HealthPRO/Heritage, RCS-1, Home Health, Jimmo V Sebelius, Jimmo v. Sebeilus, CMS policy, Crosswalk Model, CMS Calculator, PAC provider, Skilled Therapy