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SNF PPS Final Rule FY19: Top 10 Things You Need to Know

2018-08-02
In: Healthcare

The SNF PPS Final Rule was released 7.31.18. The Top 10 things you need to know. Here are the top 3. More in Kris’ blog. #rugs #cms #snf #pdpm 1) There is a 2.4% Medicare Part A Rate increase effective October 1, 2018 (Fiscal Year 2019). This equates to 820Continue Reading

Expert hopes PDPM will end False Claims cases like the one that cost SNFs millions on Wednesday

2018-07-19
In: Healthcare, Media

A model that is not based on volume and that measures patient outcomes. “One key provider advocate is expressing optimism that a pending new payment system will spare operators from therapy upcoding lawsuits like the one settled for $10 million Wednesday. Implementation of the Patient-Driven Payment Model will reward valueContinue Reading

The hope: New skilled nursing payment model still a work in progress

2018-07-11
In: Healthcare, Media

AHCA’s five main concerns and hopes/wish list in brief, they are: 1) Getting broader admission (read: reimbursement) categorizations than those in the ICD-10 coding system, 2) a longer window to make modifications to initial MDS assessments, which under the new system could easily stick a provider/beneficiary with too little orContinue Reading

CMS gives skilled nursing 2.4% Medicare pay raise, unveils another new resident classification system

2018-04-27
In: Healthcare, Media

Good read. Get informed. SNF world is changing once again. Patient-Driven Payment Model (PDPM): “The agency said the new SNF classification system model would also allow patients to choose a skilled nursing facility with services tailored to their condition because payments will be tied to condition rather than each specificContinue Reading

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