Thought Leadership

When it comes to thought leadership and staying informed, we’ve got you covered. See below for recent articles, webinars, and downloadable resources available.

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The Omnibus Burden Reduction (Conditions of Participation) Final Rule (CMS-3346-F)

The Omnibus Burden Reduction (Conditions of Participation) Final Rule (CMS-3346-F)

The Omnibus Burden Reduction (Conditions of Participation) Final Rule (CMS-3346-F) was published on September 26, 2019.  This rule finalizes the following provisions that were in the proposed rule changes.  The final rule will be published in the federal register on September 30, 2019.  The effective date for these regulation changes are November 29, 2019. The […]

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Blue & Co. PDPM HIPPS Rate Calculator

This calculator will compute the wage index adjusted individual daily rate and the cumulative total based upon paid SNF PDPM I/P Part A Medicare paid days for fiscal year 2020. The cumulative rate calculator takes into account the variable per diem adjustment for the Physical and Occupational Therapy (PT/OT) and the Non-therapy Ancillary (NTA) payment. […]

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CMS Update August 2019

CMS Updates Posted on August 30, 2019

In July 2018, CMS finalized a new case-mix classification model, the Patient Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay. Visit CMS’s website for a variety of educational and training resources […]

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CMS Final Rule under PPS for SNFs for FY 2020

CMS Final Rule under PPS for SNFs for FY 2020

CMS issued a proposed rule on July 30, 2019, with updates to the Patient-Driven Payment Model (PDPM), Quality Reporting Program (QRP), and the Value Based Purchasing Program  (VBP) for fiscal year 2020 ( beginning on 10/1/19 and ending on 9/30/20). See here for the final rule. The final rule was published in its official form […]

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Power of Data now unleashed by CMS pilot program_ Data at the Point of Care (DPC)

Power of Data now unleashed by CMS pilot program: Data at the Point of Care (DPC)

On July 30, 2019, CMS announced the Data at the Point of Care (DPC) pilot program. DPC will give clinicians that are participating in the pilot program access to claims data. Per CMS: “The claims data will fill in information gaps for clinicians, giving them a more structured and complete patient history with information like […]

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CMS Update July 2019

CMS Update July 16, 2019

On July 16, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a Proposed Rule to reform the Medicare and Medicaid long-term care requirements that would provide changes and delay certain features of the Requirement of Participation (RoP). Additionally, CMS finalized a rule allowing nursing home operators to use arbitration agreements. CMS provides that the […]

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Webinar: Optimal Opportunities in PDPM

Webinar Recording: Optimal Opportunities in PDPM

Ever-changing regulations have brought new challenges and opportunities to Skilled Nursing Facilities. In this webinar, we explore key changes that are occurring and how to transform challenges into opportunities. Areas Explored: Quality Impacts PDPM Optimal Reimbursement ICD-10 Coding Critical Expertise Click here to view the recording. Click here to download the slides. If you have […]

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New Requirements for Indiana Skilled Nursing and Assisted Living Facilities

New Requirements for Indiana Skilled Nursing and Assisted Living Facilities

A new Indiana law effective July 1, 2019, requires additional written disclosures and care planning to prospective residents. The law requires that health facilities provide a written disclosure to each prospective resident containing: Information concerning the Indiana Long-Term Care Ombudsman Program. Information on how to contact the Indiana Long-Term Care Ombudsman. Information on how to […]

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CMS Proposed Rule for Updates to PDPM, QRP, & VBP for FY 2020

CMS issued proposed rule on April 25, 2019, with updates to the Patient-Driven Payment Model (PDPM), Quality Reporting Program (QRP), and the Value Based Purchasing Program  (VBP) for fiscal year 2020 (beginning on 10/1/19 and ending on 9/30/20). Click here to read the full proposed rule. Comments on the proposed rule must be received by […]

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Swing Beds: Medicare Regulatory and Program Design Changes You Need to Know

Swing Beds: Medicare Regulatory and Program Changes You Need to Know

Swing Bed Groundwork must be in place. CAH and PPS swing bed programs need to understand the reason behind the initiation of swing beds and the reliance on understanding skilled nursing regulations to operate and successfully financially manage the program. Our education provides some historical, operational, regulatory, and management basics to review, both for existing […]

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Five Star and Nursing Home Compare Changes Clarified

Five Star and Nursing Home Compare Changes Clarified

Centers for Medicare & Medicaid Services (CMS) issued a memorandum, about changes to the Five-Star Rating system on Nursing Home Compare that will go into effect in April 2019. CMS has also revised and posted the Technical User’s Guide reflecting these changes. Important highlights of the changes are: CMS will end the survey freeze on […]

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CMS Improvements to Nursing Home Compare in April 2019

CMS Improvements to Nursing Home Compare in April 2019

On March 5, CMS announced updates coming in April 2019 to Nursing Home Compare and the Five-Star Quality Rating System. Per CMS, these changes will strengthen the tool for consumers to compare quality between nursing homes. These updates are to advance CMS’s goal to improve accuracy and value and promote quality improvement in nursing homes. […]

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Are you ready for the transition to PDPM?

Are you ready for the transition to PDPM?

In less than nine short months the RUG-IV payment system will be replaced by the Patient-Driven Payment Model (PDPM). Did you know? RUG-IV payment system ends on September 30, 2019. All Medicare Part A payments on or after October 1, 2019, will be processed on the new PDPM. ICD-10 CM coding will be a key […]

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Kentucky Nursing Home Operators Challenge with Lawsuits is Ongoing

Kentucky Nursing Home Operators’ Challenge With Lawsuits Is Ongoing

Significant dollar amounts have been recently awarded to those who have filed lawsuits against providers.  Kentucky does not have a limit (cap) for the dollar amount for damages that one can recover if injured. A cap placed upon the amount of damages one can recover if injured would help to reduce some of the recent […]

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MIPS Reporting Deadlines Are Almost Here!

Don’t wait until the last minute to submit your data for the 2017 Merit-Based Incentive Payment System (MIPS) performance period. Now is the time to act. The key dates are: Passed: March 1, 2018, for your 2017 data for your performance category via claims March 16, 2018, (by 8PM EST), for group reporting via the […]

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Webinars

Skilled Nursing Facilities

Skilled Nursing Facilities CMS Proposed Rule for 2022

The Centers for Medicare and Medicaid Services (CMS) released the proposed rule for fiscal year (FY) 2022 that would update Medicare’s prospective payment system (PPS) rates for skilled nursing facilities (SNFs). CMS estimated that the proposal would impact payment to skilled nursing facilities (SNFs) Medicare Part A as an increase of around $444 million dollars […]

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Pepper Report and 5 Star Ratings

PEPPER Report and 5 Star Ratings: Why Your Long-Term Care Facility Should Care

Monitoring data in long term care can be the key to success. Five Star Ratings and PEPPER Reports are two data sources your organization needs to review to stay on top of industry changes. The Centers for Medicare & Medicaid Services (CMS) recently released revisions to the 5 Star Technical Users’ Guide, and with the […]

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Post-acute care hot topics for 2021

Post-Acute Care: Hot Topics Leading 2021

Skilled nursing facilities are under intense pressure with all the new reporting requirements. Vaccinations, testing, PDPM, Quality Measures, Quality Reporting Program (QRP), staffing and infection control surveys are just a few of the items skilled nursing facilities are having to juggle these days. The only constant is change and the need to stay informed on […]

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Blue & Co.'s December 2020 Webinars | Free webinars | Financial services and consulting | PPP | Paycheck Protection Program Webinar | Manufacturing Webinars | Cybersecurity Webinars

Blue & Co. December 2020 Webinars

It’s webinar season at Blue & Co., LLC.! Check out all of our upcoming events for the week of December, 14. Monday, December 14 Panel Discussion Regarding Paycheck Protection Program (PPP) Webinar – Free to attend On Monday, December 14 from noon – 1 p.m. EST, Blue & Co., LLC will be hosting a panel […]

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Outpatient Therapy | WellSky Webinar: Hospital Outpatient Therapy: A Patient-Centric Way to Grow Revenue

On Demand Webinar: Hospital Outpatient Therapy: A Patient-Centric Way to Grow Revenue

Outpatient physical therapy programs are often overlooked in the hospital. However, there are several opportunities to increase access to care for patients and increase revenue for the hospital in outpatient therapy. Believe it or not, there are still opportunities for charge capture in this area, along with some basic “blocking and tackling” operational issues. New […]

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PAC News

Skilled Nursing Facilities PPS FY 2021 Final Rule Summary

Centers for Medicare & Medicaid Services (CMS) issued a final rule [CMS-1737-F] for Fiscal Year (FY) 2021 that updates the Medicare payment rates and the value-based purchasing program for skilled nursing facilities (SNFs). Effective October 1, 2020 under the PPS Patient- Driven Payment Model (PDPM). Federal Based Rates Updates to Payment Rates Under PPS Case-mix […]

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