INSIGHTS
Practical guidance on the rules that govern you
Briefs written for administrators, directors of nursing, and MDS coordinators. Short, specific, and tied to the citation or code that matters.
SURVEY READINESS
Reading F740 the way a surveyor reads it
F740 does not ask whether you contracted for behavioral health services. It asks whether the resident received them. Here is how that distinction shows up in a citation.
DOCUMENTATION
What MDS Section D is missing in most facilities
Mood interview data is routinely under captured, which understates acuity and depresses PDPM classification. The fix is a workflow change, not a coding change.
BILLING
Which behavioral health codes are excluded from consolidated billing
Psychotherapy and psychological testing sit outside Part A consolidated billing. Understanding that boundary is the difference between billable work and absorbed cost.
CREDENTIALING
CAA 2023 §4121 and the clinicians you can now enroll
As of January 1, 2024, LMFTs and LMHCs may enroll as Medicare providers. What that means for your staffing model and your pro forma.
QUALITY MEASURES
Building a GDR program that survives its first year
Most gradual dose reduction efforts fade after the first quarter. The programs that last share four structural traits, none of which are clinical.
OPERATIONS
Involuntary holds without the census damage
A behavioral escalation does not have to end in a transfer. On site assessment capability changes the decision tree and the outcome.
STAY CURRENT
Regulatory changes reach your building before they reach your policy manual
Ask us about a quarterly briefing for your leadership team.