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CMS SNF MDS Data Validation Begins in 2026: What Providers Need to Know and How to Prepare

CMS has announced the start of the Skilled Nursing Facility (SNF) MDS Data Validation Process, with validation beginning January 1, 2026 and provider notifications issued mid-January 2026. SNFs will be randomly selected for validation, and notifications will be delivered through iQIES. While selection is not performance-based currently, preparation is critical, particularly because failure to meet … Continue reading

The Hybrid Antipsychotic Measure: How SNFs Can Lead Through a Flawed System

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

Strengthen Your Revenue Cycle: Why Providers Are Turning to Expert Billing Support for Faster Cash Flow

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

Maureen McCarthy Highlights Key Managed Care Changes at AHCA’s Delivering Solutions 25 Conference

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

Big Changes Ahead for NY CMI Methodology — Are You Prepared?

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 Consulting Connects with Clients at the 2025 AAPACN Conference

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

Final Rule Drop: What Providers Need to Know About the New MA Landscape

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

Celtic Consulting Founder & CEO Maureen McCarthy Receives McKnight’s Pinnacle Award for Marketplace Influence

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

New SDOH Items Rolling Out in the MDS on 10/1/25

“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