Success under PDPM – and beyond! – in large part, boils down to this: A SNF’s ability to build positive, sustainable outcomes. As such, HealthPRO Heritage advises providers to focus on the strategies, processes, and initiatives that will support consistent delivery on exceptional clinical and performance outcomes.
Read MoreWelcome to the HealthPRO Heritage Blog
PDPM: Outcomes, Outcomes, Outcomes
Posted on: May 2, 2019
Ticket to Ride: OASIS Will Drive Success Under PDGM
Posted on: April 30, 2019
Accurate OASIS coding has always been important, but with PDGM on the horizon, our ability to master the OASIS will be imperative! After all, accurate OASIS coding will directly impact an agency’s ability to achieve optimal outcomes and support reimbursement in today’s and tomorrow’s world.
Read MoreTags: Home Health, PDGM, CMS Update 2019, OASIS
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.
Read MoreGet Ready for PDGM
Posted on: April 25, 2019
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 is ready to help you start preparing TODAY for the most dramatic Medicare reimbursement change since PPS.
Read MoreTags: Home Health, PDGM, CMS Update 2019, Revenue, OASIS
Update from CMS Regarding Group/Concurrent Under PDPM • April 19, 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 MoreTags: 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.
Read MoreGive 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.
Read MoreTags: CMS, CMS policy, Payment Reform, Patient-Driven Payment Model, PDPM, CMS Update 2019