1 min read

[Webinar] Resizing Operations Based on Your Data - Oct 21

By Prime Care Tech Marketing on Wed, Oct 20, 2021 @ 07:45 AM

Featuring executive advisors Erin Shvetzoff Hennessey and Darrin Hull from Health Dimensions Group, the October 21, 2pm ET session from our webinar series focuses on Resizing Operations Based on Your Data.

Our experts will walk you through realigning operations to impact your financial success and improve quality. Topics include:

  • Trends and data
  • Steps to redesign
  • Risks to consider

After each session, we'll offer a brief demo of how technology can help, namely our primeVIEW SNF and senior living analytics dashboard.

So, save your seat(s) and invite some colleagues!

RSVP Now

Topics: primeVIEW Health Dimensions Group resizing operations HDG SNF metrics senior living analytics SNF analytics
1 min read

Fall Webinar Series: Senior Care 2022 - Evaluation to Reinvention

By Prime Care Tech Marketing on Sun, Oct 10, 2021 @ 01:50 PM

Join executive advisors from Health Dimensions Group (HDG) for an exciting Fall webinar series to help senior care/living operators with a 2022 strategy.

Our first session, Resizing operations based on your data is on October 21 at 2PM ET and will include HDG's CEO Erin Shvetzoff Hennessey and consulting EVP Darrin Hull. They'll discuss the importance of evaluating operational areas and strategies for realigning to impact your financial success and improve quality.

Additional sessions include:

After each session, we'll offer a brief demo of how technology can help. So, save your seat(s) and invite some colleagues!

Topics: primeVIEW senior living Health Dimensions Group senior care resizing operations HDG evaluating data
3 min read

Catching up on the state of senior care at OHCA

By Prime Care Tech Marketing on Mon, Aug 30, 2021 @ 03:49 PM

Last week, our team attended the annual Ohio Health Care Association (OHCA) convention. Our Senior Customer Success Director Debi Damas also lead a session on the state of senior care. She discussed pandemic challenges and encouraged the exchange of strategies to mitigate change. The following is a recap of this valuable session.

Where does senior care stand and what the heck happened?

  • Nursing home staffing shortages only worsened as 2020 came to a close
  • 48 states saw occupancy of 80% or less, with some as low as 56%

What can senior organizations do right now?

  • Develop purpose-driven, compassionate staff
  • Adopt technology to increase connectedness, efficacy, and optimal health
  • Embrace telehealth
  • Develop a culture of positive aging framed by wellness
  • Establish trust by being prepared for emergencies and unexpected events

What happened with senior living census?

  • Increased push to home health care
  • People wanted no part of facility-based care
  • Long-term care (LTC) facilities were not admitting
  • Skilled nursing facilities (SNFs) turned beds/halls into COVID units
  • Senior care providers are now seeing slight increases in census

How can senior organizations build census?

  • Marketing value-adds to prospective residents:
    • Amenities
    • Telehealth
    • Wellness focus
  • Sharing positive performance data with hospitals:
    • Vaccination rates
    • Infection control
    • Outcome data, readmission rates
  • Identifying an ideal niche based on ICD code(s)

How does revenue look in senior care?

  • 55% of SNFs are operating at a loss
  • Significant increases in claims denials, resulting in more reviews
  • Some managed care is moving from PDPM to levels
  • Per Mark Parkinson (CEO of AHCA/NCAL), long term success comes down to: 
    • State Medicaid rates
    • Payer mix
    • Financing
    • Operational excellence

What staffing trends emerged among senior care employers?

  • Rigid schedules/Inflexible call off policies
  • 23% of nursing homes had direct care staff shortages in May
  • 96% received some government assistance
  • 47% received funds from Paycheck Protection Plan (PPP)
  • 82% received funds from CARES Act/Provider Relief Fund
  • 52% received Medicaid add on or increase from state government

What can senior care organizations do to improve staffing?

  • Increase the ways you make staff feel valued
  • Change your pay structure
  • Offer bonuses – sign-on, working all scheduled shifts, etc.
  • Revise staffing policies to benefit employees
  • Increase flexibility to accommodate child/eldercare challenges
  • Provide a career path; demonstrate benefits of added skills and education
  • Be attentive and thorough with screening and hiring

To reiterate one of Debi's earlier points, technology can help. Here are three senior care providers who are benefiting right now from our software.

 

Topics: census primeVIEW revenue cycle labor Managed Care MASTER staffing post-pandemic
2 min read

The Buzz from Zimmet Healthcare's Reimbur$ement-Con 2021

By Prime Care Tech Marketing on Mon, Aug 23, 2021 @ 01:49 PM

Recently, CEO Jim Hoey and Sales VP Jae Sparks attended Reimbursement-Con by Zimmet Healthcare. CMS' Patient-Driven Payment Model (PDPM) was a hot topic, with speakers offering strategies for skilled nursing facilities (SNF) to maximize reimbursement.

To fully appreciate these strategies, let's back up to what we know, what we expect, and some wildcards with PDPM. 

What We Know

  • PDPM was the biggest overhaul in SNF payments in a generation.
  • PDPM was supposed to be budget neutral.
  • Before the March 2020 public health emergency, experts said PDPM was more generous than CMS intended. 

What We Expect

  • CMS wants $1.7 billion back, which could mean a 5% recalibration.
  • Using average daily rates in a post-pandemic world could cause a larger recalibration next year, more like 10-12%.

The Wildcards

  • CMS did not compensate SNFs for COVID care until April 1, 2020.
  • CMS assumed all SNFs were affected by COVID in the same way.
  • ACOs and value-based purchasing are forcing shorter lengths of stay with sicker patients.
  • Due to transitional care units, hospitals are seeing most of the PDPM benefits.

While legislators seek reform, SNFs must still try to survive in the PDPM world. To this point, speakers discussed the best practices. An overriding theme here was using Interim Payment Assessments (IPAs). Only 3% of SNFs are, and it's to your disadvantage.

IPAs

  • CMS wants IPAs to help SNFs track the status of a patient’s conditions and needs for a higher level of care.
  • The purpose of IPAs is to establish a payment rate or billing code for billing Medicare Part A.
  • Implement IPAs when a resident condition changes and may last 14 days or more.
  • Conduct IPAs as a routine when resident stays hits day 21; a lot can change in three weeks.

Other Suggestions

  • Offer specialty care and therapy, like speech and language.
  • Stress the importance of documenting all work, using multiple documenters, where possible.
  • Correct coding, correct coding, correct coding; billers may need refresher courses.
  • Applaud payers when they do the right things, but never take that as enough.

Technology can help.

  • Our primeVIEW and Managed Care MASTER solutions allow you to customize alerts on certain clinical conditions or changes that should trigger staff to conduct an IPA. 
  • Our primeCLAIMS solution makes coding and editing simple and its backed by a support team experienced in post-acute billing.

Request a demo

Topics: primeVIEW Managed Care MASTER PDPM IPA Interim Payment Assessment
3 min read

CMS to enforce COVID-19 vaccine education and reporting June 14

By Prime Care Tech Marketing on Fri, May 28, 2021 @ 04:40 PM

As seen in McKnight's article, CMS: Educate, vaccinate and be ready to prove it, Centers for Medicare & Medicaid Services (CMS) will start enforcing their Interim Final Rule for COVID-19 Vaccination the week of June 14. Officially effective May 17, CMS is motivated to get staff vaccination rates up to 75 percent. Here's what's expected for both residents and staff.

  1. Offer COVID-19 vaccines
  2. Educate on COVID-19 and document efforts
  3. Report COVID-19 vaccines and therapeutic treatments each week to the National Health and Safety Network (NHSN) 

The data collected will also be posted on the agency’s COVID-19 Nursing Home Data website as soon as possible, likely in mid-June.

Said Evan Shulman, CMS’ director for its Division of Nursing Homes, "For starters, let’s remember that the intent of this is to get as many people vaccinated as quickly as possible." He continued, "So, we will likely start prioritizing those individuals who are not vaccinated and start asking them how they were educated and if they were offered the vaccine.”

In other words, your first priority should be reporting who has received the vaccination, as those who aren't even achieving that goal are likely to be targeted first for audits. Next up, make meaningful attempts to educate residents and staff on vaccine safety – and track these efforts. Following are some educational resources that may be of help.

Webinars & Training

Videos

Centers for Disease Control and Prevention (CDC) Resources

Other Resources

In related news, long-term advocates encourage senior living caregivers to begin planning for the possibility of giving COVID-19 boosters. If you don't already have a good grip on vaccination tracking, know that technology can help. Our primeVIEW facility dashboard now has the ability to track which residents have received COVID-19 vaccinations.

Let's Talk

Topics: primeVIEW CMS CMS compliance CMS reporting COVID-19

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