Resident Voice Remains Main Focus of MDS Changes, As Nursing Home Providers Adjust and Educate

More than a week after updates to the Minimum Data Set (MDS) went into effect, each section change seems to be emphasizing focus on the resident’s voice, which along with substantial coding changes – four years in the making – will require time to incorporate, experts said. Kevin Cezat, director of clinical excellence for Therapy […]

Reimbursement Tech Curbs Admin Costs, Claim Denials

During the course of its 19-facility expansion — in the middle of a pandemic — Texas operator Creative Solutions in Healthcare avoided hiring additional accounts receivable personnel by utilizing a health care payment automation platform. Fort Worth, Texas-based vendor CoreCare supplies reimbursement automation technology to make this feat possible, while the SNF industry faces a […]

Why Nursing Home Operators Should Borrow the Home Health Playbook When Rebuilding Census

In times past, the advice for improving census at skilled nursing facilities could generally be distilled to a data strategy. That data might range from statistics on difficult-to-place hospital patients to hard numbers around key outcomes such as readmissions to the acute setting. But always the watchword was “data,” even if it wasn’t always clear […]

Three Months into PDPM, Teasing Out Therapy Opportunities — and Fixing Common Mistakes

Three months into the Patient-Driven Payment Model (PDPM), operators are still strategizing how to best streamline coding and reimbursements. Some are beginning to glean positive results with increased margins, whether it’s through an increase in more efficient group and concurrent modalities or a reduction in therapy headcounts — or both. But operators still have areas […]

A Month into PDPM, Breaking Down the Pros and Cons of Third-Party, In-House Therapy

About a month into the Patient-Driven Payment Model (PDPM) for skilled nursing facilities, operators are taking stock of reimbursement strategies — including how they are tracking clinical outcomes and overall margins. Shifting from a third-party provider to an in-house model, or vice-versa, might also be part of that equation, though the answer isn’t quite straightforward.  […]