In order to qualify for the quality point in the hospital readmission category, each facility will be evaluated on their number of preventable hospital readmissions. This point is one of the five points that each facility has the potential to earn.
Over the last few years we have all become accustomed to the process of choosing which Quality Add-On Points we wanted our buildings to focus on for that year. In past years there were many categories to choose from. Now there are only a meager, 5 categories. Each category is equally weighted and worth 1 point, for a total of 5 points.
If you work in an LTPAC setting you know the only thing that is constant in our field is change. There is, however, one process that has been with us, in one form or another, for quite a long time.
Topics: Clinical Consulting
The Long Term Care Post-Acute world has functioned for decades in a fee-for-service environment. In the 1980’s, billing Medicare for resident care was pretty easy: add up all of your expenses for the billing period, type them on a claim, and mail it to the intermediary. You were paid your actual costs for your room and board, pharmacy charges, medical supplies and other patient care related costs. The annual cost report process allowed you to report facility operating expenses such as food costs and laundry services so that an adjusted reimbursement rate could be calculated. Facilities were even compensated through a settlement for their prior year charges in excess of payments received! Imagine that…
As Ohio LTPAC facilities raced to complete the PELI (Preferences for Everyday Living Inventory) as directed by the Ohio Department of Medicaid for each in-house resident by the 12/31/15 deadline in order to earn one Quality Indicator point, it left many with the question, “What’s the next step?”
Topics: Financial Consulting
One of the first questions a prospective client asks is, “How do I know when to Outsource?”
Knowing When To Outsource Your Business Office Functions
Change is not always easy. Fear of change may keep providers at “status quo.” What are the signals that it may be time to consider outsourcing the Business Office functions of your Skilled
Nursing Facility (SNF)?
When beginning an Antibiotic Stewardship in Your Facility you will want to first look at the Core Elements of Antibiotic Stewardship for Nursing Homes as defined by the CDC. “Improving the use of antibiotics in healthcare to protect patients and reduce the threat of antibiotic resistance is a national priority.
Topics: Clinical Consulting
MDS nurses know how important it is to know their CMI. In order to maximize their case mix, they need to have the key information at their fingertips. This table will allow MDS nurses to easily identify the CMI score, as well as the rank of a particular RUG score within the RUGS IV-57 hierarchy.