July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare May 26, 2023 … July 2023 Quarterly Update to Healthcare Common Procedure Coding System Codes Used for SNF Consolidated Billing was posted with this notification: Transmittal 12052 issued May 18, 2023, is being rescinded and replaced by Transmittal 12062, dated May 26, 2023 to correct the…… Continue reading July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

 SNF Virtual Training Program – MDS 3.0 v1.18.11 Available

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has uploaded Parts 1 & 2 of the SNF Virtual Training Program for the MDS 3.0 v1.18.11. This presentation describes the framework of the Skilled Nursing Facility MDS 3.0 RAI v1.18.11 Guidance Training Program (Parts 1 and 2). Instructions for completing the recorded sessions and…… Continue reading  SNF Virtual Training Program – MDS 3.0 v1.18.11 Available

Iowa Medicaid Providers: Public Health Emergency (PHE) Unwind Training for Providers

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare INFORMATIONAL LETTER NO. 2450-MC-FFS DATE: May 22, 2023 TO: All Iowa Medicaid Providers APPLIES TO: Managed Care (MC), Fee-for-Service (FFS) FROM: Iowa Department of Health and Human Services (HHS), Iowa Medicaid RE: Public Health Emergency (PHE) Unwind Training for Providers EFFECTIVE: Upon Receipt Iowa Medicaid will…… Continue reading Iowa Medicaid Providers: Public Health Emergency (PHE) Unwind Training for Providers

Appendix B – RAI Manual: May 2023 Update

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On Wednesday, May 24, 2023, CMS posted the May Update of Appendix B to the RAI 3.0 User’s Manual to convey the changes to the list of State RAI Coordinators, MDS Automation Coordinators, RAI Panel members, and CMS locations and contacts. The following are those Changes to…… Continue reading Appendix B – RAI Manual: May 2023 Update

American Geriatrics Society 2023 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The American Geriatrics Society (AGS) Beers Criteria® (AGS Beers Criteria®) for Potentially Inappropriate Medication (PIM) Use in Older Adults is widely used by clinicians, educators, researchers, healthcare administrators, and regulators. Since 2011, the AGS has been the steward of the criteria and has pro-duced updates on…… Continue reading American Geriatrics Society 2023 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults

Latest CDC, CMS and NHSN Nursing Home COVID-19 Data

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has posted the nursing home COVID-19 data for the week ending May 7, 2023. Comparing the May 7, 2023 data to the April 30, 2023 data shows these changes: Resident primary vaccination completion rate decreased 0.2% this past week; Residents up to date with vaccines…… Continue reading Latest CDC, CMS and NHSN Nursing Home COVID-19 Data

Frequently Asked Questions: CMS Waivers, Flexibilities, and the End of the COVID-19 PHE … Updated May 19, 2023

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On May 19, 2023, CMS posted an updated FAQ: CMS Waivers, Flexibilities, and the End of the COVID-19 Public Health Emergency document. There are 19 pages of FAQs, answering 43 questions.  No red ink on this document to show what’s different from the previous FAQ.  Because…… Continue reading Frequently Asked Questions: CMS Waivers, Flexibilities, and the End of the COVID-19 PHE … Updated May 19, 2023

Transition Forward: Updated Medicaid Unwinding Resources Now Available

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On May 11, 2023, the federal Public Health Emergency (PHE) for COVID-19 expired. Some Medicaid services, such as telehealth flexibilities, will not be affected and have been extended through December 31, 2024, as indicated in The Consolidated Appropriations Act of 2023. There are certain Medicare and…… Continue reading Transition Forward: Updated Medicaid Unwinding Resources Now Available

July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for SNF Consolidated Billing Enforcement

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The purpose of this Change Request (CR) – 12052 is to provide updates to the lists of HCPCS codes that are subject to the consolidated billing provision of the SNF Prospective Payment System (PPS). Changes to Current Procedural Terminology/Healthcare Common Procedure Coding System (CPT/HCPCS) codes and…… Continue reading July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for SNF Consolidated Billing Enforcement

Updated CASPER MDS Census Reports for Nursing Homes

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The 1704D Daily MDS Census Detail and 1704S Daily MDS Census Summary reports in the Payroll-Based Journal (PBJ) report category in the CASPER Reporting application have been updated to reflect all MDS records that have been accepted into the Internet Quality Improvement and Evaluation System (iQIES)…… Continue reading Updated CASPER MDS Census Reports for Nursing Homes