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WEBINARS & PUBLICATIONS

FREE Online Webinars

Analysis and Understanding of PDPM - The Patient Driven Payment Model

 

  • Review several analyses of specific resident cases and how they compare with reimbursement between RUGS IV and PDPM.
  • Learn how you and your team should be training and transitioning now to be prepared for the shift to PDPM, this entirely new Prospective Payment System for all Medicare beneficiaries.
  • Gravity has been completing PDPM Financial Analyses for multiple customers - hear what we have learned and how it may apply to you.

 

While the PDPM model shares some similarities with RCS –1 it is vastly different from the current RUGS IV system and it is truly a paradigm shift in the health care sector. PDPM is scheduled to take effect in October of 2019, however, understanding the system now is critical so that you and your team can prepare and advocate.

 

Become the first of your colleagues to grasp a comprehensive understanding of PDPM and how it will affect your community's reimbursement through our training and support.

 

Watch our informative webinar at the link below!

CLICK HERE TO VIEW THIS WEBINAR!

IGNITE: A Revolution in Resident Engagement

Are you looking for a progressive and extraordinary program to elevate your community to the next level and IGNITE your outcomes? Gravity Healthcare Consulting has collaborated with a diverse group of healthcare professionals, experienced in skilled nursing, to bring you IGNITE – a revolutionary approach to resident engagement for the short term, skilled nursing resident.

 

By establishing clear task delineation, superior goals and a unified vision, IGNITE will empower your team to propel each resident to their optimal achievements and success during their short-term stay. With proven strategies to promote reduced/clinically appropriate length of stay, bolstered functional outcomes, reduced depression, lowered risk of falls, and improved resident satisfaction, IGNITE will revolutionize the way your team delivers care.

 

Watch our informative IGNITE webinar at the link below!

CLICK HERE TO VIEW THIS WEBINAR!

MDS Changes 2018 – What You Need to Know

MDS Changes Effective October 1, 2018

 

The MDS will be changing again effective October 1, 2018. The MDS version 1.16 will include the following changes and additional item sets:

 

    Section C: Delirium

    Section GG: Functional Abilities and Goals

    Section I: Active Diagnosis

    Section J: Health Conditions

    Section M: Skin Conditions

    Section N: Medications

    Section O: Special Treatments, Procedures and Programs

 

Education and preparedness for these changes are critical as they will affect the new Quality Measures for the SNF Quality Reporting Program (QRP) and overall facility reimbursement.

CLICK HERE TO VIEW THIS WEBINAR!

Patient Driven Payment Model (PDPM) and the MDS

The current SNF payment model (RUG IV) has complex assessment rules and a significant amount of assessment schedules that require a large volume of paperwork to complete.  The proposed PDPM (Patient Driven Payment Model, FY2019) is resident driven and designed to improve incentives to treat the needs of the resident’s verses concentrating on the volume of services the resident receives.  PDPM will reduce the amount of paperwork and number of assessments to complete for the MDS Coordinators and the additional members of the interdisciplinary team. However, it will require the coordination and skill of the MDS team leader to help your organization successfully shift to this new payment model and receive accurate reimbursement.

 

The objectives of this webinar are to review the proposed PDPM to determine how the new SNF payment model will impact the role of the MDS Coordinator and provide best practices for capturing resident-specific characteristics on the MDS on day 1 of the resident’s admission. This will confirm that the resident is provided with all appropriate services from day 1 and the SNF will be reimbursed accordingly for services provided. Join us to better understand the key features of the MDS Coordinator/RNAC under the new payment so you can become an MDS superhero!

CLICK HERE TO VIEW THIS WEBINAR!

Analysis and Understanding of PDPM: The Time To Get Ready Is Now

The skilled nursing industry released a sigh of relief when Medicare announced that the Resident Clarification System, Version 1, or RCS-1 was not going to move forward. However, on April 27, 2018, CMS announced that instead it was proposing a similar but critically different system, the Patient Driven Payment Model, or PDPM. While the PDPM model shares some similarities with RCS –1 it is vastly different from the current RUGS IV system and it is truly a paradigm shift in the health care sector. PDPM is scheduled to take effect in October of 2019, however, understanding the system now is critical so that you and your team can prepare and advocate. Become the first of your colleagues to grasp a comprehensive understanding of PDPM and how it will affect your community's reimbursement through our training and support.

CLICK HERE TO VIEW THIS WEBINAR!

Common MDS Coding Errors that Can Make You Vulnerable During an Audit

Your nursing facility may be the next in line for an MDS audit. If so, are you confident that the documentation on your MDS’ is in compliance and accurately captures the services you are providing? Customers have seen MDS audit penalties at over $200,000!

 

Auditors continue to find the same common coding areas throughout their audits, potentially putting your nursing facility at risk for financial loss or repayment. Because the MDS is a complex tool that is regulated by an overwhelming manual, it is destined for misinterpretation. As it determines facilities’ pay rates, it continues to be under scrutiny and may lead to unintentional errors that could become costly. These errors can also lower your Five-Star ratings.

 

There are many factors that make MDS errors seem almost unavoidable.  Medical terminology that doesn’t always match regulatory language can cause misinterpretation of information data entered on the MDS. Most MDS Coordinators have a tendency to be overloaded with work including other facility responsibilities combined with complicated schedules which all further contribute to errors. MDS coordinators who aren't trained on the latest manual updates or changes in facility systems will spend more time trying to convert information from the medical record to the MDS which can cause submission of inaccurate information.

 

MDS Coordinators usually have strength in clinical comprehension more so than financial knowledgeable leading them to be unprepared for the complexities of MDS completion and submission and it’s impact on the accuracy of reimbursement. Negative outcomes for the facility can occur leading to lower payment or no payment. Facility administration can reap the benefits of providing MDS Coordinators with the time required to review all aspects of the medical record in order to perform their jobs with accuracy and the training they need to complete their task with compliance and success.

CLICK HERE TO VIEW THIS WEBINAR!

Do the CoPs Have Your Home Health Agency Under Arrest?

Is your Home Health Agency Operating Efficiently Under the New CoPs?

 

Join us for a FREE informational webinar regarding how to have optimal home health efficiency, while incorporating strategies pertaining to the final rule. Learn about Gravity Healthcare’s structure and strategies on how to enhance collaboration, efficiency, communication and accountability within your Agency’s team, patients, and referral sources while providing optimal person-centered care. Our strategies help to reduce unnecessary variations in care, increase customer satisfaction, and enable your team to predict and control costs.

 

Healthcare continues to shift with new regulations and payment models. There is heightened focus on the need to deliver high-quality care at a reduced cost. Gravity Healthcare’s innovative strategies will assist your Agency’s team with optimizing the final rule regulations and team efficiency to maintain financial viability. By organizing your clinical processes, your team will be able to effectively communicate and deliver person-centered care while facilitating partnerships between providers, patients and caregivers.

 

CLICK HERE TO VIEW THIS WEBINAR!

Revised Interpretive Guidance and New Survey Process

Is your team prepared for the new survey process going into place on 11/28/17?

 

CMS has released Revised Interpretive Guidance effective November 28, 2017 as a result of the updated Requirements for Participation under the Medicare and Medicaid programs and reform of requirements for long term care facilities that occurred in 2016.

 

The revisions of these regulations caused the need for CMS to revise the existing F Tags to correspond with the new regulatory sections. Implementation of Phase 2 will occur together with the new computer based survey system.

CLICK HERE TO VIEW THIS WEBINAR!

Critical Pathways by Gravity Healthcare Consulting: Preparation + Collaboration = Decreased Cost and

Improved Quality!

Critical Pathways are focused on preparation, accountability, communication resources and training methods to assist your healthcare team with becoming a preferred provider and systematize your clinical approach with focus on communication and partnerships between hospitals, your interdisciplinary team, and the resident/caregiver. Critical Pathways are focused on accountability, communication, consistent - high quality of care, and person-centered care. The Pathways will position your community to reduce unnecessary variations in care, decrease readmission rates, and be able to predict and control costs.

CLICK HERE TO VIEW THIS WEBINAR!

Common Mistakes on the MDS that Affect Reimbursement and Compliance

Are you confident that the documentation on your MDS complies and captures the services you are providing which affect your reimbursement? The MDS is a complex tool that is regulated by an overwhelming manual and therefore are destined for misinterpretation. Because it determines facilities’ pay rates, it continues to be under scrutiny and may lead to unintentional errors that could become costly. These errors can also lower your Five-Star ratings. With the shift to pay-for-performance and outcomes-based care, auditors will increasingly be reviewing information found in the MDS.

 

MDS Coordinators are commonly clinically strong but often have the opportunity to grow in financial knowledge. They can often benefit from education regarding the complexities and consequences of MDS completion and submission. Mistakes on the MDS can lead to lower payment or no payment. Facility administration can support their MDS team by giving MDS Coordinators the time required to review all aspects of the medical record to perform their jobs with accuracy.

 

CLICK HERE TO VIEW THIS WEBINAR!

New Impact On Therapy Reimbursement

How the Proposed New Revisions to Case Mix Methodology Will Impact Therapy Reimbursement. The Resident Classification System, Version 1 or RCS-1 is posed to replace the current RUG system. Understanding how the classification will change from the current 66 levels to the new 4 categories will guide you and your team in planning proactively for the changes that are coming. While many things are similar between the two systems, there is a dynamic shift in how individual items are scored and categorized and this will impact your future bottom line. Watch Gravity Healthcare Consulting’s free webinar on the proposed changes to this system and the impact it will have on therapy reimbursement.

CLICK HERE TO VIEW THIS WEBINAR!

OIG Work Plan Update for Home Health

Please join Gravity Healthcare for a free webinar on the OIG Work Plan Update for HH. In this short 15 minute webinar, you can learn of some of the key changes in the OIG Work Plan for 2017 and begin to understand the impact to your organization.

CLICK HERE TO VIEW THIS WEBINAR!

Motivating and Managing Millennials in the Work Force

Are you struggling to successfully integrate Millennials into your team? Do you find that there is a generational gap and it is difficult to find harmony between Millennials and

Non-Millennials?

 

Then please join us for the Gravity Free Monthly Webinar: Motivating and Managing Millennials in the Work Force. We will provide you with a powerful understanding of what drives and identifies this generation and provide you with proven strategies to overcome the challenges and leverage the opportunities with Millennials.

CLICK HERE TO VIEW THIS WEBINAR!

Changes to the Conditions of Participation

for Home Health

CMS recently updated the Final Rule for Home Health which will be effective on July 13, 2017. Are you prepared for these critical changes to achieve compliance? The changes to the Final Rule will impact the provision of client-centered interdisciplinary approach and can affect reimbursement and quality measures. Gravity Healthcare can assist you with understanding these Final Rule changes and how to prepare for these new initiatives. Attend our free webinar to learn more about the changes to the Final Rule for Home Health.

 

We are here to partner with you to help you move through this significant change effectively and successfully. We will also be discussing current hot topics in our industry.

CLICK HERE TO VIEW THIS WEBINAR!

New Therapy Evaluation CPT Codes for 2017

Flagship Rehabilitation has partnered with Gravity Healthcare Consulting to provide you this essential webinar about the new therapy evaluation CPT codes that went into effect on 1/1/2017. These regulations have impacted our industry significantly and can also affect the RUG scores and setting the ARDs in your community. We encourage all of the following to attend:

     • Administrators

     • MDS Coordinators

     • RNACs

     • Directors of Nursing

     • Assistant Directors of Nursing

 

We are here to partner with you to help you move through this significant change effectively and successfully. We will also be discussing current hot topics in our industry.

CLICK HERE TO VIEW THIS WEBINAR!

FREE WHITEPAPER PUBLICATIONS

"The Super Heroes of PDPM"

"Although we do not often see MDS Coordinators working in our nursing communities wearing capes, they are going to be the secret superheroes of each community under PDPM. PDPM, or the Patient Driven Payment Model, is the new PPS system that goes into effect on October 1, 2019. The complex new system, with separate RUGs and per diem rates for Nursing, Non-Therapy Ancillary, Physical Therapy, Occupational Therapy, and Speech Therapy, will require that MDS Coordinators are more proactive than ever. CMS has stated that the reduced number of MDS assessments required under PDPM should reduce MDS-related annual administrative costs by $12,000 on average per facility. However, the reality is that MDS Coordinators will need to expand their wings even more than before to oversee new metrics, care provision and documentation to achieve success under the new payment model..."

 

Download the full whitepaper below to continue reading...

CLICK HERE DOWNLOAD THIS WHITEPAPER PUBLICATION

"Patient Driven Payment Model (PDPM): Why Restorative Matters for SKILLED Residents"

"Restorative Nursing has been a vital component of successfully individualizing resident care and preventing avoidable issues such as decline in functional independence, wounds and contractures. But Restorative Nursing Programs are moving to the forefront under the Patient Driven Payment Model, or PDPM, especially for skilled residents. Under PDPM, providers will be able to capture reimbursement for approximately half of skilled residents if restorative nursing is captured on the MDS. It will be vital for facilities to implement restorative nursing services on Day 1 of the resident’s admission when clinically indicated. The 5-day SNF PPS scheduled assessment in PDPM will impact overall reimbursement throughout the entire stay, unless a resident ..."

 

Download the full whitepaper below to continue reading...

CLICK HERE DOWNLOAD THIS WHITEPAPER PUBLICATION

"PDPM Financial Analysis A Financial Analysis: Therapy Armageddon or Therapy Freedom?"

"As providers we breathed a sigh of relief when CMS informed us on April 27, 2018 that RCS-1 was being tabled in favor of a new, remodeled edition titled the Patient Driven Payment Model, or PDPM. And while PDPM shows many improvements over what was believed to be “Therapy Armageddon” in RCS-1, there are still many concerns in the therapy and skilled nursing world about what PDPM means for the future. With a significantly altered reimbursement structure for therapy services, many providers have considered drastic cuts in the amount of therapy services they intend to provide under PDPM. Furthermore, with CMS focused on a “value over volume” agenda, PDPM encompasses a paradigm shift because skilled nursing and long-term care reimbursement is no longer powered by the amount (i.e. minutes) of therapy services provided. And, in fact, providers could theoretically increase their margins further by ..."

 

Download the full whitepaper below to continue reading...

CLICK HERE DOWNLOAD THIS WHITEPAPER PUBLICATION

"Section GG & PDPM (Patient-Driven Payment Model): A Financial Analysis"

"Care providers agree that Section GG is a true interdisciplinary assessment and is therefore a better

indicator of the resident’s actual level of independence and need for nursing and therapy care (as compared to Section G). In response to provider comments and concerns that the Resident Classification System (RCS-1) was too complex, CMS requested that Acumen reexamine the number and complexity of the proposed RUG scores. Acumen reviewed their own research and determined that when they substituted Section GG for Section G, they could remove cognition as a factor for PT and OT RUG scores because the Section GG scoring more accurately aligned with costs regardless of cognition. Thus, the PT and OT..."

 

Download the full whitepaper below to continue reading...

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"Patient Driven Payment Model (PDPM) and the MDS: A Total Evolution of the SNF Payment Model"

"Centers for Medicare & Medicaid Services (CMS) has been focused on developing payment

models that deliver high quality person-centered care with supporting data that is trackable and

reflects appropriate outcomes for all individuals, while reducing regulatory burden and healthcare

costs. Transparency and communication across all healthcare systems has also been an area of

concentration for CMS, as it continues to re-construct payment models throughout the healthcare spectrum.

Current attention for CMS has been on evolving the Skilled Nursing Facilities (SNF) Prospective Payment System (PPS) that has included research and review of..."

 

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"Is your Home Health Agency ready for the Final Rule to the Conditions of Participation?"

"Medicare certified home health agencies have almost doubled from 6,461 in 1990 to 12,268 in 2014 due to longer life expectancy, advanced medical interventions, and decreased length of stay in hospitals and skilled nursing facilities.   The increased utilization of home health services coincides with the rising expenditure related to home health services.  Home health care expenditures in the United States have continually increased from 12.5 billion in 1990 to 83.2 billion in 2014.  Due to increased benefit and utilization..."

 

Download the full whitepaper below to continue reading...

CLICK HERE DOWNLOAD THIS WHITEPAPER PUBLICATION

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