2023-2024 MDS Changes: Maintaining Reimbursement Amid Evolving Requirements

The MDS is a crucial component in the assessment and reimbursement process for skilled nursing facilities. Significant updates were made in 2023, with further changes introduced in 2024, prompting a closer examination of their implications for providers and the reimbursement landscape. In a recent webinar, Kevin Cezat, Director of Clinical Excellence for TMC, provided valuable insights into these updates and their broader impacts.

One of the most notable changes is the expanded focus on comprehensive data collection. Facilities are now required to gather and report more detailed information, which can place additional strain on already busy clinical teams.

A recurring issue highlighted during the webinar is the ongoing struggle within the industry regarding the accuracy of the Section GG items. Obtaining not only the information needed but accurate information is paramount. Inaccurate or incomplete coding can lead to inconsistencies in data reporting, potentially affecting reimbursement rates for skilled nursing facilities.

As the healthcare landscape continues to evolve, staying informed about MDS updates is essential for skilled nursing facilities. The insights provided by Kevin Cezat underscore the need for vigilance in data collection practices and staff education. By addressing these challenges proactively, facilities can better position themselves for success in an increasingly complex reimbursement environment.