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Used for SNF Consolidated Billing was posted with this notification: Transmittal 12052 issued May 18, 2023, is being rescinded and replaced by Transmittal 12062, dated May 26, 2023 to correct the…… Continue reading July 2023 Quarterly Update to Healthcare Common Procedure Coding System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

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

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

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

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

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On May 15, 2023, CMS issued Transmittal 12037 with this message (in red ink): Transmittal 12032 issued May 10, 2023, is being rescinded and replaced by Transmittal 12037, dated May 15, 2023, to make a minor clarification (that claims will be adjusted/denied if an improper payment…… Continue reading Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review Clarified  

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Centers for Medicare & Medicaid Services (CMS) is offering a virtual training program that provides instruction on the updated guidance for the Skilled Nursing Facility (SNF) Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) v1.18.11 Manual and Item Set. This training is part of…… Continue reading REGISTRATION OPEN: SNF MDS 3.0 RAI v1.18.11 Guidance Training Program

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare A facility-initiated transfer or discharge of a resident from a nursing home can be an unsafe and traumatic experience for the resident and the resident’s family. To address these concerns, Congress passed the Nursing Home Reform Act of 1987 to protect residents against inappropriate, facility-initiated transfers…… Continue reading OIG: Nursing Home Facility-Initiated Discharges: A Data Brief 

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 are only considering those MDS records that were accepted in the Quality Improvement and Evaluation System (QIES) Assessment And Submission Processing…… Continue reading Certification and Survey Provider Enhanced Reports (CASPER) Daily Minimum Data Set (MDS) Census Reports for Nursing Homes  

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On April 10, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2024. In addition, the…… Continue reading SNF VBP Program Webinar: FY 2024 SNF PPS Proposed Rule Overview – May 24, 2023: 2pm ET