When reviewing the CMI components driving PDPM reimbursement it’s important to consider the critical role of the Non-Therapy Ancillary (NTA) score. The NTA component score is based on the presence of certain comorbidities and/or the use of extensive services. CMS...
Providers will benefit from moving beyond a billable minute or RUGs based therapy contract under PDPM Therapy contracts are under review for many providers. In most cases, providers will benefit from moving beyond a billable minute or RUGs based therapy contract under...
Medicaid Case Mix Index (CMI): Common Errors and Opportunities Kristen Walden & Jessica Cairns OSHA Compliant COVID-19 Reporting Janine Lehman Restorative Nursing Under PDPM Part 1 and Part 2 Kristen Walden Reducing PDPM Non-Therapy Ancillary...
October 1, 2025 MDS Changes: What You Need to Know! CMS has released the RAI User’s Manual v1.20.1, effective October 1, 2025, with updates across multiple MDS sections. While Sections GG and J bring the most significant changes, every adjustment matters for...
Compliance Risk Assessment Considerations for the New Year As we enter 2025, nursing home providers face many regulatory and administrative challenges. January is a good time to conduct a compliance risk assessment that considers the updated nursing facility...
