When will RCS-1 become a fact of life? How will it affect SNF payments and workflow? Skilled nursing facilities may soon understand what kind of Medicare Part A payment reform is on the horizon and when it will begin. Last May, CMS signaled it is working on the Resident Classification … Read More
Gotchas to watch for in PBJ audits
PBJ Audits are a key part of the Staffing Five Star methodology going forward based on the details shared by CMS with State Survey Agency Directors on how they will use Payroll-Based Journal data for Staffing Five Star measures. Download the full memo here. Here’s what to watch for in preparing your PBJ … Read More
A better way to predict rehospitalization
Just looking at SNF resident symptoms and risk factors is not enough to predict rehospitalization, according to a recent independent study. The research, funded by the CMS Innovation Center, was designed to help SNFs and hospitals understand why long-term care residents are rehospitalized. Diagnoses such as heart failure or urinary … Read More
Where to find that missing CMS quality measure data
If you have, you’re not alone. QTSO announced last week that, beginning today, several MDS 3.0 quality measure reports will be unavailable from the CASPER system. The reports relate to resident long-stay/short-stay details. As of today, CMS has removed the following reports/report package (in the MDS 3.0 QM Reports category): … Read More