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As you and your team recover from the front lines in the battle against COVID, the focus begins to shift to reimbursement and life after COVID. While many providers have seen positives under PDPM, our analyses continue to show that most providers are missing key Nursing PDPM triggers that contribute to increased Nursing and NTA reimbursement. Tune in to our free monthly webinar to learn some high level essential tips and tricks to optimizing the accuracy of your PDPM reimbursement.
Learn more about the blanket waivers for Covid-19, and how you can leverage them, and the implications from using them. CMS has taken proactive steps through 1135 waivers under sections of the Social Security Act and rapidly expanded the Administration’s aggressive efforts against COVID-19. As a result, blanket waivers were put into effect with a retroactive effective date of March 1, 2020 through the end of the emergency declaration.
Isolation Woes with the MDS and COVID-19: Isolation is a rapidly expanding option coded on the MDS with the infiltration of COVID-19 into our communities. However, when MDSs are audited, isolation is often miscoded or not captured, resulting in reduced reimbursement and increased liabilities.
Learn more about how and when to accurately capture isolation, compliance concerns surrounding isolation, and how residents with COVID-19 and PUIs can be accurately captured for isolation on the MDS.
An overview and discussion of relevant and timely topics, including:
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“Like a phoenix rising, SNF providers are emerging from the devastation of the pandemic. But life after the pandemic and the financial reality of a post-pandemic era are extremely challenging. After having focused for so long on managing the clinical needs patients with COVID-19, sourcing PPE and stabilizing the mental health of the nurses and frontline heroes on their teams, providers have now shifted their focus toward rebuilding the financial stability of their organizations…”
“As providers brace themselves for the new reality with the proposed 4.6% PDPM parity cuts in October 2022, they are searching for new strategies to offset these cuts amidst the continued increased costs from inflation and the lasting effects of the pandemic. While all providers can benefit from a laser focus on PDPM accuracy, that is often not enough to make up for these new financial challenges. An independent research study conducted by Gravity Healthcare Consulting shows that providers have found cost relief, improved reimbursement, and increased therapy margins by transitioning to a new therapy management model, emerging from EDGE Therapy Solutions. PDPM reimbursement increased by $14/day from Q2 of 2021…”
“A key to financial recovery for skilled nursing facilities. As skilled nursing facilities emerge from the ashes of the COVID-19 nightmare, they are searching for ways to recoup financial losses associated with COVID-19, offset increased costs, and successfully address the reality of vast staff burnout. Most facilities want to admit higher-acuity residents because care for these individuals returns higher per diem rates under the Patient-Driven Payment Model (PDPM), often in multiple payment categories. In addition, hospitals are eager to discharge to facilities equipped for a higher level of care. Savvy providers have taken this into account and have started transitioning their care model to focus on higher-acuity residents. But for many skilled nursing facilities, this transition poses challenges, which have only been exacerbated by the pandemic’s…”
“…there are many questions surrounding effective and efficient operations and delivery of care under the new model. With so many aspects of the payment structure shifting significantly, providers need to consider new targets other than therapy minutes to achieve appropriate and adequate reimbursement. While CMS has …”
“…Although we do not often see MDS Coordinators working in our nursing communities wearing capes, they are going to be the secret superheroes of each community under PDPM. The complex new system, with separate RUGs and per diem rates for Nursing, Non-Therapy Ancillary, Physical Therapy, Occupational Therapy, and Speech Therapy, will require that MDS Coordinators are more proactive than ever. CMS has stated that the reduced number of MDS assessments required under PDPM should reduce MDS-related annual administrative costs by $12,000 on average per facility. However, the reality is that…”
“…Restorative Nursing Programs are moving to the forefront under the Patient Driven Payment Model, or PDPM, especially for skilled residents. Under PDPM, providers will be able to capture reimbursement for approximately half of skilled residents if restorative nursing is captured on the MDS. It will be vital for facilities to implement…”
“…while PDPM shows many improvements over what was believed to be “Therapy Armageddon” in RCS-1, there are still many concerns in the therapy and skilled nursing world about what PDPM means for the future. With a significantly altered reimbursement structure for therapy services, many providers have considered drastic cuts in the amount of therapy services they intend to provide under PDPM. Furthermore, with CMS focused on a …”
“…In response to provider comments and concerns that the Resident Classification System (RCS-1) was too complex, CMS requested that Acumen reexamine the number and complexity of the proposed RUG scores. Acumen reviewed their own research and determined that when they substituted Section GG for Section G, they could remove cognition as a factor for PT and OT RUG scores because the Section GG scoring more accurately aligned with costs regardless of cognition. Thus, the PT and OT…”
“…Transparency and communication across all healthcare systems has also been an area of concentration for CMS, as it continues to re-construct payment models throughout the healthcare spectrum. Current attention for CMS has been on evolving the Skilled Nursing Facilities (SNF) Prospective Payment System (PPS) that has included research and review of…”
“Medicare certified home health agencies have almost doubled from 6,461 in 1990 to 12,268 in 2014 due to longer life expectancy, advanced medical interventions, and decreased length of stay in hospitals and skilled nursing facilities. The increased utilization of home health services coincides with the rising expenditure related to home health services. Home health care expenditures in the United States have continually increased from 12.5 billion in 1990 to 83.2 billion in 2014. Due to increased benefit and utilization…”
Gravity offers a range of education, both on-site and online. We customize our training and educational sessions to suit your needs. Education provided for: Administrators, Directors of Nursing, MDS Nurses, Nurses, Therapy, Billing, QA Staff, Department Heads. Our webinars are a great way to learn from the comfort of your home or office, while having the ability to interact with the presenter and other participants.
Presented by: Melissa Brown
Gravity Healthcare Consulting offers video modules of the key components of the Restorative Nursing Program. Engineered by the experts at Gravity, along with Occupational Therapists, Physical Therapists, Speech Therapists and Registered Nurses, the videos will prepare your team to effectively provide Restorative Nursing Services. The videos are designed to be interactive, including Pre- and Post-Testing along with opportunities to stop and demonstrate the recommended competencies to a trainer throughout. The package includes a trainer’s manual to help your Restorative Manager to effectively oversee and complete these trainings.
The videos include:
Presented by: Devin Kassi
The recordings can be utilized for employee orientation, re-education of current employees, and employees not complying with safety within the workplace. Our Workplace Safety recordings include 4 Power Point presentations and professional recordings for each of the following topics:
General topics discussed in the recordings stated above, include, but aren’t limited to:
Our Workplace Safety recordings are proven to increase employee safety, decrease cost associated with worker’s compensation, increase employee retention, and create a cultural of respect!
Price: $500.00
Presented by: Melissa Brown
Care Plans are a vital component of skilled nursing and long-term care. Focusing on the resident at the center and using the “I-format,” Care Plans should be designed to help you:
Our comprehensive, one-hour webinar will give you the foundation and tools you need to approach Care Planning with confidence. Real life examples are also included to further expand your understanding of effective Care Planning.
Finally, we will show you how a truly interdisciplinary approach will empower your team to create Care Plans that are efficient and will achieve increased compliance. Recommended participants include RNAC/MDS coordinators, LPNACs, Directors of Nursing and Administrators.
Disclosure: This learning event does not focus exclusively on any specific product or service.
After completing your purchase, you will immediately be redirected to the online webinar.
Price: $100.00
Presented by: Dr. Ericka Alexander
This course examines the full responsibilities of the Restorative Nursing Program. Successful transition from rehabilitation to nursing care requires training and education. Understanding the options available is key to providing quality resident care. Enhancing resident outcomes is always the highest priority for your rehabilitation team, so utilizing the Restorative Nursing Program is influential for the resident’s ongoing success.
Disclosure: This learning event does not focus exclusively on any specific product or service.
This course was recorded on June 29, 2015
Handouts are available for this course. Individual handouts include power point and printed materials for illustrations that parallel the power point.
After completing your purchase, you will immediately be redirected to the online webinar.
Price: $45.00
Presented by: Ashley Haltenhof
This course is intended to provide healthcare professionals with information regarding development and implementation of a rehabilitation-Restorative Dining program.
The course materials provide background information for essential skills and knowledge needed to implement a program designed to address dysphagia, feeding deficits, and positioning deficits which might inhibit a resident from independence during mealtime. Additionally, materials are presented as evidence-based and oriented to clinical application for screening procedures and knowledge of the aspects of program implementation.
Disclosure: This learning event does not focus exclusively on any specific product or service.
This course was recorded on June 30, 2015
Handouts are available for this course. Individual handouts include power point and printed materials for illustrations that parallel the power point.
After completing your purchase, you will immediately be redirected to the online webinar.
Price: $45.00
• No special software download required.
• Hosted through online, video conferencing.
• Scheduled on a specific date.
• Emailed webinar link sent the day of webinar.