Posted on 10.18.17
Fall is always a season of change. Medicare is no exception to this as we prepare for significant changes to our industry's reimbursement system. Planned for October of 2018 is the end of our current RUGS-IV payment system, to be replaced by the Resident Classification System or RCS-1.
Reimbursement with RCS-1 will not be based on therapy minutes. Instead, residents will fall into one of 10 categories. These categories, along with the resident's functional, cognitive and emotional status, was well as ancillary needs, will determine the reimbursement rate for that person. Under the proposed RCS-1, there will be only a 5 day assessment and a Discharge Assessment ( if necessary), unless a Significant change is indicated during their entire length of stay. So the COTs, SOCs and 14 day assessments go away.
After many years of the current system, moving away from the importance of therapy minutes and frequent assessment periods will seem foreign. Rehab providers will need to redefine how they manage service delivery. One constant through all of this is the importance of strong clinical outcomes. Customers will be especially motivated to align with therapy providers who can help their residents regain function quickly and effectively. Quality initiatives from CMS are not changing, so the focus on rehospitalization rates, pressure ulcers and falls will remain. Arbor Rehabilitation has been educating our teams on strategies to suppport our facilities in these aspects all along. We have a long history of adjusting to many changes in the healthcare industry and have succeeded through many challenges. Arbor is currently studying the proposed RCS-1 system utilizing national resources and will empower our teams with the most accurate and current information available. Our commitment to our residents, customers and employees will enable us to succeed through these changes.