The quality measure with the most impact on revenue is clearly rehospitalization rates. With SNFVBP, SNFQRP, and the Five-Star Rating System directly or indirectly impacting reimbursement, the one measure all three of these CMS reporting programs have in common is rehospitalizations. Whether it is an all-cause all-condition, or a potentially preventable calculation, rehospitalizations can make a big difference to your bottom line. Restorative nursing programs (RNP) can help.
As COVID-19 spreads throughout the U.S., LTC providers face unique challenges to keep their high-risk residents safe. In an effort to fully understand the challenges SNFs are currently facing as a result of the virus, we’d like readers to complete a survey to tell us about their challenges.
A study published December 18 in the Journal of the American Geriatrics Society, “Performance and Penalties in Year 1 of the Skilled Nursing Facility Value‐Based Purchasing Program,” examined the performance scores and penalties of 14,558 SNFs over the past year since the VBP program implementation.
CMS issued its final rule, Fiscal Year 2020 Payment and Policy changes for Medicare Skilled Nursing Facilities (CMS-1718-F), in July. The new payment rule aims to “strengthen the Medicare program by better aligning payment rates for these facilities with the costs of providing care and increasing transparency so that patients are able to make informed choices.” Within the rule are three major updated provisions that will affect the operation of SNFs: the Prospective Payment System (PPS) payment policy, the Value-Based Purchasing Program (VBP), and the Quality Reporting Program (QRP).