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The 2023 final rule explained: A summary for skilled nursing facilities
Presented by Scott Heichel, RN, RAC-MT, RAC-CTA, DNS-CT, CIC, QCP, IPCO, Director of Clinical Reimbursement | LeaderStat
The Centers for Medicaid and Medicare Services (CMS) recently published the long-awaited final rule for the fiscal year (FY) 2023. It updates Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS). The release followed a 60-day comment period in which almost 5,000 comments were submitted by nursing home providers and other industry leaders.
The following changes are included in the final rule:
Some of these changes mirror the proposed rule, while others are new additions. With so many moving parts, it is important that your team knows what changes are taking effect come October 1 and how to prepare for them.
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Recorded Oct 23, 2018
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Scott Heichel, RN, RAC-MT, RAC-CTA, DNS-CT, CIC, QCP, IPCO, is the Director of Clinical Reimbursement for LeaderStat. He has over 25 years of healthcare experience and has been recognized for his expertise on the RAI process and clinical reimbursement. Scott’s consulting work includes performing Medicare and Medicaid reimbursement reviews and creating educational programs for skilled nursing facilities and multi-facility operators. He has testified as an expert witness in a large Medicare dispute case and has also assisted in corporate integrity audits and corporate compliance reviews. Scott is a member of the American Association of Post-Acute Care Nursing (AAPACN) Board of Directors, the American Association of Nurse Assessment Coordination (AANAC) Expert Advisory Panel, is recognized as a Master Teacher through AANAC for their RAC-CT MDS certification courses, and sits on the board as the President of the Ohio Association of Nurse Assessment.
Tom Martin is the director of post-acute care analytics at CarePort, powered by WellSky. He has led several data analytics teams providing insight to healthcare providers trying to improve quality of care for their post-acute care patients. He holds an M.S. in Resources Economics with a concentration in econometrics from the University of Massachusetts Amherst. As director of post-acute care analytics at CarePort, Tom studies how the ever-changing PAC regulatory and payment landscape is impacting care delivery and how acute and post-acute providers can leverage their data to improve patient care.
WellSky is a technology company leading the movement for intelligent, coordinated care worldwide. Our next-level software, analytics, and services power better outcomes and lower costs for stakeholders across the health and community care continuum. In today’s value-based care environment, WellSky helps providers, payers, health systems, and community organizations solve tough challenges, improve collaboration for growth, harness the power of data analytics, and achieve better outcomes by further connecting clinical and social care. WellSky serves more than 20,000 client sites around the world — including the largest hospital systems, blood banks, cell therapy labs, blood centers, home health and hospice franchises, post-acute providers, government agencies, and human services organizations. Informed by more than 40 years of providing software and expertise, WellSky anticipates clients’ needs and innovates relentlessly to ultimately help more people thrive. For more information, visit WellSky.com.
People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.
People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.
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