07Mar
Elevating Quality Measures: Mastering Discharge Function Scores
https://www.youtube.com/watch?v=vs-zEo_3TXE In the world of skilled nursing facilities, one important measure of success during a Medicare subacute rehab stay is the new discharge function score. This metric evaluates how well residents progress during their stay, comparing their functional abilities on admission to those at discharge. It provides valuable insight into the rehabilitation process, highlighting whether […]
15Oct
2023-2024 MDS Changes: Maintaining Reimbursement Amid Evolving Requirements
https://www.youtube.com/watch?v=fadXgz4cabw&t=2s 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 […]
29Aug
Unveiling SNF 5-Claim Probe Trends
https://www.youtube.com/watch?v=0LQ0-_baGsQ Over the past year, we’ve closely monitored the impact of the SNF 5-Claim Probes and have identified key trends and insights from the feedback received from our clients. In this session, we Christina Bruenderman, our Director of Denials & Appeals, will discuss the primary denial trends observed during these probes and provide actionable strategies […]
19Jul
I-SNP Advanced Webinar
https://www.youtube.com/watch?v=09dJnlG9yLg&t=1s It’s our second installment in our webinar series where we delve deeper into Institutional Special Needs Plans (I-SNP). Discover the advantages and potential challenges of selecting an I-SNP partner, explore enrollment strategies tailored for long-stay residents, and gain insights into optimal reimbursement options. We are thrilled to have Shayna Wasser, COO of Guided Care, […]
24Jun
I-SNP Basics Webinar
https://www.youtube.com/watch?v=Qb5e5ZjXuvE I-SNPs, D-SNPs, and C-SNPs oh my! In part one of our two-part series on I-SNPs, our PAC Partnership Strategist, Mike Wetula, provides a general overview of Medicare Advantage Special Needs Plans, focusing on I-SNP industry drivers and considerations. Between all three special needs plans, enrollment is almost 7 million, which accounts for just over […]
12Apr
Restorative Nursing Essentials: Elevating Quality Measures in Long-Term Care
https://www.youtube.com/watch?v=C0rotYP84WM Our Director of Clinical Excellence, Kevin Cezat, is ready to share how to get your Restorative Program up and running! We will discuss best practices to overcome barriers, audit methods, and ensure compliance in your Restorative Nursing Program. He also has insight on how to utilize Restorative Nursing services to focus on increasing quality […]
27Feb
PDPM & Managed Care Denials: Explained
https://www.youtube.com/watch?v=QaIEeBixqOY&t=2s Last week Christina Bruenderman, TMC’s Director of Denials and Appeals, shared the top reasons for PDPM and Managed Care denials and how to prevent them. The CMS SNF 5-Claim Probe and Educate reviews have been ongoing since June of 2023. “Despite the fact that these five-claim probes are going on and there have even […]
01Oct
Overview of MDS Updates for October 1, 2023
https://www.youtube.com/watch?v=GTNJvPcCj64 Join us for this archived webinar presented by TMC’s Director of Clinical Excellence, Kevin Cezat. He reviews the latest MDS 3.0 Item Set (v1.28.11), which was updated on October 1, 2023. He focuses on pertinent changes in Sections A-X, as well as a more in-depth look at the Section G to GG transition. “This […]
27Jun
Medicare Advantage: Final Rule & SNFs
https://www.youtube.com/watch?v=-Nu02rlFx3M Will the Medicare Advantage Final Rule improve patient access to skilled nursing facilities? Now that Medicare Advantage enrollment has exceeded traditional Medicare nationally, how will CMS ensure beneficiary access to care? Join us to find out more about these changes. Join us for this archived webinar presented by TMC’s PAC Partnership Strategist, Mike Wetula. […]
05Jun
Navigating & Surviving CMS SNF 5-Claim Probes
https://www.youtube.com/watch?v=nFGRNJPBrR4 Effective June 5, 2023, CMS began the SNF 5-Claim Probe and Educate Reviews. What can providers expect in the 5-Claim Probe process and how can you prepare? Join us for this archived webinar presented by TMC’s Director of Denials and Appeals, Christina Bruenderman. “This format,” says Bruenderman, “is similar to what we have seen […]
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