Unraveling the impact: PDPM Medicaid case-mix index and potential Five-Star Rating challenges
By
Steven Littlehale
Mar 01, 2024
The landscape of Medicaid reimbursement for nursing homes is undergoing significant changes. Presently, eight states have adopted the PDPM case-mix index (CMI) model, and an additional 31 states are set...
Also in the News for Friday, Oct. 20
By
Kimberly Marselas
Oct 20, 2023
PA lawmakers adjust nursing facility case mix after COVID losses … Nursing home care among fastest-growing categories of national health spending: Altarum … Senior care nurse job satisfaction heavily...
The data is in! More trends from CMS ResDAC
By
Renee Kinder
Sep 09, 2021
All data lovers you are in luck! Another quarter of data is in, courtesy of the CMS Research Data Assistance Center (ResDAC). We have all watched trends since the initiation of the Patient Driven Payment...
Will the MDS ever go away?
By
Maria Arellano, MS, RN
Oct 19, 2012
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...
Capturing acuity: How MDS accuracy has a critical impact on Medicare/Medicaid payment systems
By
Steven Littlehale
Apr 20, 2012
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
Jan 27, 2012
Skilled nursing facilities are almost exclusively putting residents in individual therapy, a new report from the Centers for Medicare & Medicaid says.
Medicare case-mix likely to become more clinically complex, NIC panel asserts
Mar 10, 2010
The looming Medicare payment system will encourage nursing home operators to embrace more clinically complex care, according to panelists who spoke Tuesday at the 2010 National Skilled Nursing Investment...
New CMS rule to eliminate section of MDS, revise RUGs
Aug 25, 2009
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...