Hot Topics - August 2025

Download Your August 2025 Performance Score Reports


Blog by Sarah McIntosh, President

FY 2026 SNF VBP Program


Starting in the FY 2026 Program year, the SNF VBP Program is expanded to assess performance on multiple quality measures rather than a single measure of all-cause hospital readmissions. Performance is based on 4 quality measures:


  1. SNF 30-Day all-cause readmission
  2. SNF health care-associated infections requiring hospitalization
  3. Total nursing staff turnover
  4. Total nurse staffing hours per resident day

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Do you have questions? You may call us at (270) 726-4033 or email us at: accountants@hargisandassociates.com.

How does your facility compare?

We can combine client data for a comprehensive per patient day dashboard. We want to put this peer comparison to work for you! The benefits of the report include:


  • Finding Where Costs are Deviating
  • Knowing Outliers
  • Opportunities for Efficiency Improvement
  • Additionally, we can compare capital costs and rent.


Ask us how to get started! You may call us at (270) 726-4033 or email us at: accountants@hargisandassociates.com.

Other Hot Topics

Here are a few more hot topics in the news. Make sure to check our blog for timely updates, news, and resources. Also, don't forget to follow along on our social media pages for more!

Mark Your Calendar

  • September 29-30, LeadingAge of Kentucky Conference: Hargis will be attending LeadingAge of Kentucky conference September 29-30. Rhonda Houchens will be speaking at conference on September 29! (Click here for details.)

Thanks for following along!

A special share from the desk of Sarah McIntosh ✨

"I had the honor of attending the National Association of State Veterans Homes (NASVH) summer conference this week in Louisville Kentucky. I was with Remarkable people committed to serving our veterans by providing compassionate care.


I also had the honor of meeting veteran Brigadier General Leslie “Les” E. Beavers (United States Army, Retired) and his lovely wife Brenda."

Pictured above: Sue Popplewell (Administrator at Radcliff Veterans Center), General Leslie Beavers, Brenda Beavers, Mark Bowman (Executive Director for Ky Department of Veterans Affairs), and Sarah McIntosh (Hargis & Associates LLC President).

Neat Facts of Brigadier General Leslie "Les" E. Beavers...

On Oct. 1 1998, Les was appointed by former Gov. Paul Patton as the first commissioner for the newly formed Kentucky Department of Veterans Affairs and given the mission to “take care of Kentucky’s veterans.” He continued to serve as KDVA commissioner through the following administrations of former Gov. Ernie Fletcher and Gov. Steve Beshear. Beavers retired from KDVA in 2008, having provided over 10 years of service to the commonwealth’s veterans.



More pictures from the fun Derby themed banquet!


Sarah had a great time at the Derby themed installation banquet with staff from Radcliff Veterans Center, Western Kentucky Veterans Center, Thomson Hood Veterans Center, Eastern Kentucky Veterans Center. 

Featured Team Member

Melissa Rager, Billing Specialist

Melissa has been a valued member of Hargis & Associates, LLC for over a year and currently serves as an Accounts Receivable Specialist. 


With a background in long-term care occupational therapy, Melissa is well-equipped for her role. Her expertise spans Medicare and Medicaid billing, effective communication with business office personnel, and supporting resident families. Known for her persistence, she is committed to resolving slow or unpaid claims.


If you need assistance with billing, collections, or claims approval, don’t hesitate to reach out—Melissa is here to help!


Click here to read more about Melissa and the rest of the Hargis team.

Providing Healthcare Accounting Solutions Since 1978

Hargis & Associates is a full-service CPA firm exclusively serving the healthcare community since 1978. Specializing in LTC billing, accounting, and consulting. We offer solutions to achieve a healthier financial workflow, including...

  • Medicare, Medicaid, and Co-Insurance Billing and training
  • Financial Statement and Tax Return preparation and planning
  • Medicare & Medicaid cost reporting, reimbursement consulting, and A/R analysis.
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Contact us with any questions you have.
Accounting@hargisandassociates.com
270-726-4033