Attention Billers: Implementation of the SNF PDPM – Updates to Default HIPPS Code

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS issued Change Request:11513 on January 9, 2020 to inform SNFs and Swing Bed Providers that a previous CR (11152) “erroneously omitted the default Health Insurance Prospective Payment System (HIPPS) code from the CR. This CR will implement change to include the instructions to bypass…… Continue reading Attention Billers: Implementation of the SNF PDPM – Updates to Default HIPPS Code

Updated Appendix B (RAI User’s Manual) Posted

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS posted an updated Appendix B on December 26, 2019. Appendix B is the reference you need in the event you have questions for your state RAI Coordinator (interpretation of the RAI Manual) or MDS Automation Coordinator (submission of MDS records).  It also contains contact…… Continue reading Updated Appendix B (RAI User’s Manual) Posted

Home health agencies need to be aware of issues with OASIS assessment rejections and validation report .

Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare On January 7, 2020; the National Association for Home Care and Hospice (NAHC) reported they have been hearing from their members regarding issues with OASIS assessment rejections and validation report errors. CMS has been in communication with NAHC about this situation. The information below is an…… Continue reading Home health agencies need to be aware of issues with OASIS assessment rejections and validation report .

Update to Review Choice Demonstration from CMS

Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare If your HHA is in a state participating in the Review Choice Demonstration (RCD) and your agency selected the Pre-claim Review (PCR) option you will need to be aware of CMS’s update to the RCD Operational Guide, dated December 5, 2019. See excerpt below then follow…… Continue reading Update to Review Choice Demonstration from CMS

CMS Posts DRAFT Version of the 2020 MDS Item Sets (v1.18.0)

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Just minutes ago, CMS posted the DRAFT version of the MDS Item Sets that LTC providers will use next October. The posting notification contains this statement: “Please note that Section G has been removed from all Federal item sets.”  (I think I hear cheering in…… Continue reading CMS Posts DRAFT Version of the 2020 MDS Item Sets (v1.18.0)

PDGM will change the relationship your agency has with physicians.

Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare In fact, PDGM will require the physician to do more work and to responds more quickly and more often to agencies’ requests. Physicians will need to be educated about the new system. NAHC has created a Physician Toolkit to help agencies educate physicians about the new…… Continue reading PDGM will change the relationship your agency has with physicians.

SNF/LTC Open Door Forum – December 12, 2019

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The next CMS Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum scheduled for: Date:  Thursday, December 12, 2019 Start Time:  2:00 PM – 3:00 PM Eastern Time (ET) Please dial-in at least 15 minutes before call start time.  This call will be Conference…… Continue reading SNF/LTC Open Door Forum – December 12, 2019