The Centers for Medicare and Medicaid Services, (CMS) as well as The American Health Care Association, (AHCA) introduced an initiative in early 2012 to improve the quality of care by decreasing the use of antipsychotics in SNFs. Their goal was to decrease the use of antipsychotics by 15% by December 2012.
Communication is key to optimize your facility’s Case Mix Index. How do you and your facility communicate cull dates, OBRA MDS assessments, and Part B referrals to ensure effective management of your Medicaid reimbursement?
Some states pull their Case Mix information quarterly and some twice a year. Do you know how often your state pulls information for Case Mix? Are you using that information to manage your Part B caseload? If so, how?
Are you in a Case Mix state? Do you know if you are or are not and how to find out? If you are in a Case Mix state (and know it), it is important to effectively manage your Part B caseload to ensure you optimize your Medicaid reimbursement. How are you helping your facility manage their Case Mix Index?