Iowa HHA: Home Health Agency Low-Utilization Payment Adjustment (LUPA) Reimbursement Rates

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Iowa Department of Human Services (DHS) and Iowa Medicaid Enterprise (IME) posted INFORMATIONAL LETTER NO. 2250-MC-FFS on August 3, 2021.  The IL is directed to Iowa Medicaid Home Health Agencies and is effective July 1, 2021. Provisions of the 2021 Iowa Acts, House File 891, Section…… Continue reading Iowa HHA: Home Health Agency Low-Utilization Payment Adjustment (LUPA) Reimbursement Rates

SNF/LTC Open Door Forum Agenda Updated

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The next CMS Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum scheduled for:   Date:  Thursday, August 5, 2021 Start Time:  2:00 PM – 3:00 PM Eastern Time (ET) This call will be Conference Call Only. To participate by phone: Dial: 1-888-455-1397 & Conference…… Continue reading SNF/LTC Open Door Forum Agenda Updated

Appropriate Staffing Standards in Post-Acute and Long-Term Care

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare AMDA (The Society for Post-Acute and Long-Term Care Medicine – Medical Directors) has posted a position statement on appropriate staffing standards for PAC and LTC.  It’s a thoughtful and interesting 4-page read.  The position statement is dated July 22, 2021.  I’ve added bolding to highlight the…… Continue reading Appropriate Staffing Standards in Post-Acute and Long-Term Care

Antipsychotic Medication Use Data

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Since the launch of the National Partnership, significant reductions in the prevalence of antipsychotic medication use in long-stay nursing home residents have been documented.  The National Partnership continues to work with state coalitions and nursing homes to reduce that rate even further. Recently, CMS announced a…… Continue reading Antipsychotic Medication Use Data

OIG Report: States’ Backlogs of Standard Surveys of Nursing Homes Grew Substantially During the COVID-19 Pandemic

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare OIG (Office of Inspector General) posted this report (same title as this blog) on July 27, 2021.  The report is a 4-page addendum to the December 2020 report. OIG analyzed CMS administrative data on standard surveys that States conducted from February 1, 2020, through May…… Continue reading OIG Report: States’ Backlogs of Standard Surveys of Nursing Homes Grew Substantially During the COVID-19 Pandemic

Hospice Payment Rate Update: FY 2022 Final Rule Posted

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Late afternoon on Thursday, July 29, 2021, CMS issued a final rule that updates Medicare hospice payments and the aggregate cap amount for Fiscal Year (FY) 2022 in accordance with existing statutory and regulatory requirements. This rule rebases the hospice labor shares and clarifies certain aspects…… Continue reading Hospice Payment Rate Update: FY 2022 Final Rule Posted

SNF Prospective Payment System: FY 2022 Final Rule Posted

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare             Late Thursday afternoon, July 29, 2021, CMS issued a final rule updating Medicare payment policies and rates for Skilled Nursing Facilities (SNFs) under the SNF Prospective Payment System (PPS) for Fiscal Year (FY) 2022.  In addition, the final rule includes several policies that update the SNF…… Continue reading SNF Prospective Payment System: FY 2022 Final Rule Posted

Hospice Quality Reporting Program Forum – August 4, 2021

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare On Wednesday, August 4th, the Centers for Medicare & Medicaid Services (CMS) will host a webinar to share updates on the on the fiscal year (FY) 2022 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements Final Rule. During this webinar, a CMS…… Continue reading Hospice Quality Reporting Program Forum – August 4, 2021

SNF/LTC Open Door Forum – August 5, 2021

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, August 5, 2021 Start Time:  2:00 PM – 3:00 PM Eastern Time (ET) Please dial-in at least 15 minutes before call start time. Conference Leaders: Todd Smith &…… Continue reading SNF/LTC Open Door Forum – August 5, 2021