My April Five-Star rating is different from what I expected. Why? In March, the Centers for Medicare & Medicaid Services posted changes to the Five-Star calculation methods that affected ratings beginning in April. The health inspection domain is unfrozen after allowing time for all facilities to be surveyed under the new process that rolled out…
The Patient-Driven Payment Model will have six areas that comprise our reimbursement, and we will be able to impact five.
There are multiple factors that are impacting facility rates this year, and it can be quite confusing.
ICD-10 coding should be high-priority on everyone’s list this year as we await the rollout of the Patient-Driven Payment Model. I do not think it can be stressed enough that diagnoses are driving reimbursement.
There still is widespread confusion around the staffing portion of the star rating. The methodology for calculation of this changed as of April 2018.
Q: I did not receive an incentive payment for FY 2018 through the Skilled Nursing Facility Value Based Purchasing program. How can I ensure I receive incentives for FY 2019?
