With overlooked reimbursement opportunities in the Payment-Driven Payment Model (PDPM) relatively common, nursing home operators can start to improve by focusing on some key areas where money is commonly left on the table. Accurate documentation in the areas of speech, non-therapy ancillary services and nursing are top of the list for improving reimbursement through the […]
More guidance is available on how to conduct mood interview changes, with the Centers for Medicare & Medicaid Services (CMS) updating the Resident Assessment Instrument (RAI) manual to reflect key changes in the new Minimum Data Set (MDS). Notably, if a resident refuses or is unwilling to participate in the interview, assessors need to go […]
As nursing home operators enter the final stretch before Minimum Data Set (MDS) changes take effect on Oct. 1, they are focusing particular attention on items related to capturing resident depression. With a substantial amount of reimbursement being at stake, the effect of the change from the PHQ-9 to the PHQ-2 to 9 is the […]
The Centers for Medicare and Medicaid Services (CMS) has made headway separating metrics changes in the past year-and-a-half, tying some to the pandemic and others to implementation of the Patient-Driven Payment Model (PDPM). John Kane, technical advisor and SNF payment team lead for CMS, helped the skilled nursing industry better understand the impacts of PDPM […]
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