Long Term Care News – Oct 17th

Does Payer Mix Impact Nursing Case-Mix Index?

The CMS Five-Star Rating system is now based on the Patient-Driven Payment Model nursing case-mix index (CMI). This article explains the background on the nurse staffing adjustment and the impact of the nursing CMI on the state Medicaid reimbursement systems.

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Beyond QAPI’s Clinical Benefits: Nursing Homes Use Data for Successful Acquisitions, Adding Service Lines, Improving Reimbursement

The Quality Assurance and Performance Improvement Program (QAPI) is a program used to improve the quality of care and life of nursing home residents. This article explains how some operators are utilizing QAPI to launch new business lines, while improving the case-mix index scores, quality of care, and potentially reimbursement.

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