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With October right around the corner, you must have systems and strategies in place. You need to outline your strategies. Some operational strategies include

  • Nursing Component
    • Documentation
      • Great nursing documentation is a must
      • Clinical leadership must review documentation regularly
    • Section GG of MDS included in nursing functional score
    • IPA Tracking Process
  • Rehabilitation
    • PT/OT Component
      • Work with therapy staff
    • Restorative Program
    • SLP Component
      • Work with Speech Therapist
      • Work with Dietician
    • NTA Component
      • Diagnosis
      • Interdisciplinary Team should discuss all diagnosis
      • Interdisciplinary Team should discuss all nursing care required by the resident
      • Documentation and Communication will be key to capturing and receiving all potential reimbursement
    • Non-Case Mix Component
    • ICD – 10 Coding
      • Need to either hire Coding Specialist OR
      • Provide training for key staff on coding
    • CMS
      • Watch for CMS updates frequently

References

Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNF) Proposed Rule for FY 2019, SNF Value-Based Purchasing Program, and SNF Quality Reporting Program

https://www.federalregister.gov/documents/2018/05/08/2018-09015/medicare-program-prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities

SNF PPS Payment Model Research: Patient Driven Payment Model

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/therapyresearch.html

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