Long-Term Care

STRIVE update

MDS 3.0 Insider, March 23, 2009

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Members of the Staff Time and Resource Intensity Verification (STRIVE) project Technical Expert Panel (TEP) met March 11 in Baltimore for a presentation of information collected during the STRIVE project, the first national time study in nursing homes since 1997, according to CMS.

Although CMS will use information collected in the time study to adjust the Medicare payment system for nursing homes, CMS officials did not reveal any concrete changes that may be made to nursing home payment, said Elise D. Smith, JD, vice president of reimbursement and research for the American Health Care Association.

Smith, who observed the meeting, said some payment areas that may be adjusted include:
• The therapy component
• Look-back periods
• Extensive services
• Activities of daily living (ADL) scales and triggers
• The lower RUG categories

CMS is expected to release the SNF PPS proposed rule in May, officials said at the March SNF/Long-Term Care Open Door Forum.



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