Headlines

Changes To Prior Authorizations This Year

The CMS will be looking to “Free physicians to spend time caring for their patients,” this year according to CMS Administrator Seema Verma. After analyzing thousands of comments received and hosting multiple listening sessions, CMS is looking into solutions this year to improve the prior authorization process. For more on this, see the article below.

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PDPM Strategies For Success

In the first few months of the Patient Driven Payment Model (PDPM), there have proven to be a few rather successful strategies. Two of the most impactful things that Skilled Nursing Facilities (SNFs) are focusing on are data and clear communication of their high acuity to hospitals. For more on this please see the article

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SNFs More Memorable Moments Of 2019

An interesting look back at 2019 and a few of the more interesting moments that were more or less overshadowed by the shift to PDPM. From an account of the impact ACO’s have had on SNF’s, to a piece on one state’s attempt to remove long-term residents from managed Medicaid, this article touches on some

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Using CMS Data To Reduce Short-Term Stays

This article is a great example of a skilled nursing facility (SNF) using CMS data to react and respond to issues affecting their quality of care. Showcased, a facility that was able to reduce short-term stays for Medicare by 45% and able to rehabilitate patients more efficiently than surrounding SNFs. For more on this, please

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