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.
The Centers for Medicare & Medicaid Services (CMS) issued frequently asked questions and answers (FAQs) for healthcare providers regarding Medicare payment for laboratory tests and other services related to the 2019-Novel Coronavirus (COVID-19).
Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) initial claims that are processed out of sequence are not paying the correct Variable Per Diem (VPD)-adjusted rate. Also, all adjustment claims are not processing correctly. Claims need to process in date of service order for each stay for the VPD to calculate correctly. CMS states it will correct this issue in October.
The Centers for Disease Control and Prevention’s National Center for Health Statistics will implement a new ICD-10-CM diagnosis code for the 2019 Novel Coronavirus (COVID-19), effective with the next update on October 1. See the announcement and interim coding guidance for more information.