Skilled nursing facilities are being asked to respond to something entirely new, and understandably, many are struggling to wrap their arms around it. The Long-Stay Antipsychotic Medication Quality Measure is CMS’s first-ever hybrid quality measure, blending MDS data with claims from outside providers. That alone makes it different. But what’s proving most challenging for SNFs … Continue reading
What MDS Coordinators need to know (and do) right now. If you’ve heard the buzz about CMS’ first-ever hybrid quality measure, the Long-Stay Antipsychotic Medication QM, you’re probably wondering: “How will this impact our quality scores? And why does it feel like half the data will come from places I don’t even control?” You’re not … Continue reading
In today’s post-acute and senior care environments, financial stability has become harder to maintain. Rising aging A/R, tighter cash flow, staff turnover, and increasing payer scrutiny are pushing providers to reevaluate how effectively their billing and revenue cycle operations are working. Whether you are a Skilled Nursing Facility, Home Health Agency, or Assisted/Independent Living community, … Continue reading
At the American Health Care Association’s (AHCA) Delivering Solutions 25 Conference, Celtic Consulting’s Founder and CEO, Maureen McCarthy, presented to a standing-room-only audience eager to learn about the latest managed care and Medicare Advantage updates impacting skilled nursing providers. During her session, McCarthy outlined significant regulatory changes already in effect for 2024 and 2025, and … Continue reading
The New York State Department of Health (DOH), in collaboration with Myers and Stauffer (M&S), has released details on the next phase of transitioning to a PDPM-based case mix methodology. Celtic Consulting is here to help you stay ahead of the curve. Key Highlights: 🔹 Two PDPM Components Analyzed to Date:M&S has reviewed MDS data … Continue reading
Celtic’s CEO, Maureen McCarthy, is connecting with clients and partners from across the country at the AAPACN Conference in Louisville this week. The annual event brings together leaders in post-acute care nursing to collaborate, share insights, and advance best practices in long-term care. During the conference, Maureen had the opportunity to meet with representatives from … Continue reading
Check out what Celtic Consulting Founder & CEO, Maureen McCarthy, had to say to McKnight’s Long-Term Care News about the newly released CY 2026 Medicare Advantage updates. Read the full article here. One notable shift: new limits on retroactive payment takebacks, now restricted to only the most egregious cases. While this change offers some welcome … Continue reading
We’re thrilled to share Celtic Consulting’s Founder & CEO, Maureen McCarthy, will be recognized this week as a Marketplace Influencer award winner at the 2025 McKnight’s Pinnacle Award ceremony! For decades, Maureen has been a driving force in shaping policy, guiding providers through regulatory changes, and challenging the status quo to improve resident care. She … Continue reading
“R” you ready for new SDOH items rolling out in the MDS on 10/1? Many new social determinants of health (SDOH) items were added to Section R in the draft MDS version 1.20.1, with the potential for additional items to be included. Celtic’s Founder and CEO, Maureen McCarthy, spoke with the American Association of Post … Continue reading
Don’t Discount the Value of a Well-Planned Discharge Planning Process! Effective discharge planning is crucial for the success of SNFs and their patients. A comprehensive approach can make all the difference in achieving smooth transitions and better outcomes. 👉 See what Celtic’s Founder & CEO, Maureen McCarthy, had to say in McKnight’s Long-Term Care News … Continue reading