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The Billers’ Association for Long-Term Care (BALTC) is a membership community created specifically for professionals involved in the long-term care revenue cycle. This national association provides members with a resource of continuously updated tools, reimbursement and regulatory guidance, and education to help prevent revenue loss and documentation and billing errors so providers can withstand audits at any point in time. With its involved expert advisory board members and active talk group, this engaged group of professionals is a great place for sharing and receiving best practices, tips, and tools with your peers.

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These 7 readmission risks could prevent you from receiving SNF VBP incentive payments

Nov 02, 2018
The Bottom Line

As of October 1, 2018, the Skilled Nursing Facility (SNF) Value-Based Purchasing Program (VBP) rewards SNFs with incentive payments for reducing hospital readmissions. To receive incentive payments for this quality measure, make sure these 7 readmission risks don’t exist in your facility:

  1. Inadequate staff.Staff are ill-prepared and not equipped to deal with the acuity of patient referrals (principally comorbidities).

  2. Insufficient advance care planning.SNF does not conduct adequate communication between the patient and family regarding hospitalization issues.

  3. Poor care coordination. SNF is not in sync with referring hospital upon discharge regarding medication reconciliation, assessment, equipment needs, etc.

  4. Lack of tools to manage patient acuity. Not enough or no diagnostic tools, radiology services, lab services, IV pumps, pharmacy coverage, etc.

  5. Inadequate physician coverage/support. SNF doesn’t have a strong medical director and/or physician staff.

  6. Lack of or ineffective QAPI. Facility isn’t doing quality assurance tracking/trending on transitions and thus doesn’t identify root causes.

  7. Ineffective electronic health record systems. Information and access is not readily available to diagnosis and treat preventable conditions in-place.

To correct these risk factors, join expert speaker Reginald M. Hislop III, PhD, Managing Partner and CEO of H2 Healthcare, LLC on Thursday, November 8, 1-2pm, ET for a discounted price of $59 as he provides strategies for meeting this SNF VBP requirement.

Your entire staff can listen in to this 60-minute program for one low price. Register now!

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