Case Mix

Will the MDS ever go away?

Will the MDS ever go away?

As the industry moves from fee-for-service to the episodic world of care, much emphasis has been placed on understanding how payment systems work over the past couple of decades. This view evaluates outcomes at the close of an episode, before the checks get cut.

Capturing acuity: How MDS accuracy has a critical impact on Medicare/Medicaid payment systems

Capturing acuity: How MDS accuracy has a critical impact on Medicare/Medicaid payment systems

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There's a familiar saying in the industry that "If it's not documented, then it's not done." But what if it is documented, but just not documented correctly?

SNFs focused on individual therapy, new government report reveals

SNFs focused on individual therapy, new government report reveals

Skilled nursing facilities are almost exclusively putting residents in individual therapy, a new report from the Centers for Medicare & Medicaid says.

New CMS rule to eliminate section of MDS, revise RUGs

New CMS rule to eliminate section of MDS, revise RUGs

A controversial new rule from the Centers for Medicare & Medicaid rule will recalibrate Medicare case mixes under the Resource Utilization Group (RUG) system. Specifically, it will eliminate a section of the Minimum Data Set (MDS) and change the RUG classification process for short-stay residents.