Revisions to Hospice-Appendix M of the State Operations Manual and the Hospice Basic Surveyor Training

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Today, January 17, 2023, CMS posted QSO-23-08-HOSPICE with the same title as this blog. This Memorandum is 196 pages in length, with the actual revised Appendix M starting on page 25.  There are 3 Attachments with Attachment III being the Transmittal – Advanced Copy: There’s a…… Continue reading Revisions to Hospice-Appendix M of the State Operations Manual and the Hospice Basic Surveyor Training

Home Health Changes for Disaster Claims and Certain Adjustments

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has posted MLN Matters Number: MM13020 (3 pages) relating to Change Request 13020.  When disaster conditions (such as hurricane or wildfire) make submission of OASIS assessments impossible, Medicare may issue a waiver indicating OASIS submission is waived. In this case, HHAs should report condition code…… Continue reading Home Health Changes for Disaster Claims and Certain Adjustments

Numerous Additional LTC Data Sets Updated

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare If you love data and analyzing data, the last couple of days have been a goldmine for you!  January 2023: Data have been refreshed for January 2023. Because of COVID-19 reporting exceptions, the claims-based measures were calculated excluding Q1 and Q2 2020.  For additional information, visit the…… Continue reading Numerous Additional LTC Data Sets Updated

PBJ (Payroll-Based Journal) Data Sets Updated   

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Payroll Based Journal (PBJ) Nurse Staffing and Non-Nurse Staffing datasets provide information submitted by nursing homes including rehabilitation services on a quarterly basis. The View Data link above includes the hours staff are paid to work each day, for each facility, aggregated by staff reporting…… Continue reading PBJ (Payroll-Based Journal) Data Sets Updated   

Full Text of Statements of Deficiencies – Updated January 25, 2023     

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare These Excel filescontain the full texts (diagnoses, medications and similar items have been removed to protect resident identity and confidentiality) of each nursing home deficiency that Survey Agencies cited on the CMS Form 2567 (Statements of Deficiencies). Due to the size of these files, they are…… Continue reading Full Text of Statements of Deficiencies – Updated January 25, 2023     

Five-Star Technical User’s Guide Updated – January 2023    

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Effective with the January 2023 refresh, CMS will be conducting audits of schizophrenia coding in the Minimum Data Set (MDS) data. Facilities that have coding inaccuracies identified through the schizophrenia MDS audit will have their Quality Measure (QM) ratings adjusted as follows: • The overall QM…… Continue reading Five-Star Technical User’s Guide Updated – January 2023    

Five-Star State Level Cut Point Table – January 2023    

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare This document – Five Star Quality Rating System Technical Users’ Guide: State Level Health Inspection Cut Point Table – provides the data for the state-level cut points for the star ratings included in the health inspection domain. Cut points for the staffing ratings and for the…… Continue reading Five-Star State Level Cut Point Table – January 2023    

Care Compare January Refresh of SNF QRP Data Now Available   

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The January 2023 refresh of the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC). The data are based on quality assessment data submitted by SNFs to Centers for Medicare & Medicaid Services (CMS) from…… Continue reading Care Compare January Refresh of SNF QRP Data Now Available   

Care Compare Quarterly Refresh – January 2023

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The January 2023 quarterly refresh for the Home Health Quality Reporting Program is now available on Care Compare. For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) will be based on the standard number of quarters. For additional information on the COVID-19 public health…… Continue reading Care Compare Quarterly Refresh – January 2023

AHCA/NCAL Long Term Care Jobs Report – January 2023

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Late last week, AHCA/NCAL posted Long Term Care Jobs Report – January 2023.  There are 7 slides. Below are 2 slides excerpted from that report. Please review all slides. “Looking at data from the federal government, nursing homes are still facing historic job losses while other…… Continue reading AHCA/NCAL Long Term Care Jobs Report – January 2023