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How VBP, QRP, and Five-Star will be affected by PDPM

PPS Alert for Long-Term Care, April 5, 2019

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to PPS Alert for Long-Term Care.

With the recent Five-Star Rating System Changes released by the Centers for Medicare & Medicaid (CMS) on March 5, 2019, the agency is one step closer to aligning the skilled nurs-ing facility (SNF) Quality Reporting Program (QRP) and Five-Star Rating System Quality Measures (QM). The changes to the Five-Star Rating System mimic the QRP measures, inclusions, and data points. The Patient Driven Payment Model (PDPM) will likely further align these programs by unifying the mini-mum data set (MDS) reporting fields. Data collected on the activities of daily living (ADLs) will transition over to Section GG as a resource utilization groups (RUGS) III and IV get phased out of the MDS item sets

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to PPS Alert for Long-Term Care.

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