Since October 1, 2019, for Medicare A recipients, the Resource Utilization Groups (RUGS) IV is out and the Patient Driven Payment Model (PDPM) is in. The first two years of the transition were complicated by COVID and the PHE. But since May 2023 when the PHE ended, things have been getting back to normal. It is important to remember that although the reimbursement model has changed, the regulations outlined in the Centers for Medicare &
It is challenging being a Skilled Nursing Facility (SNF) in 2024! Not that it has ever been easy, but there are so many regulations, and the increased challenges of staffing and infection control since COVID and the PHE have really raised the bar. The Centers for Medicare & Medicaid Services (CMS) monitors quality issues and has devised a terminology for those facilities deemed high risk with a history of serious quality issues. These facilities are
This article is the third in a multi-part series discussing the concepts of organizational intelligence and their impact on healthcare providers. You can read Part 1 here or Part 2 here. How your organization receives, processes, and acts on information is at the heart of understanding your Organizational Intelligence. Loop Learning is an excellent model that can help you quickly identify at what level your business is operating – and how to help it evolve