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

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare ​​​​​​​​​​​Established in 1967 by AHCA, National Skilled Nursing Care Week (NSNCW) celebrates the essential role that skilled nursing care centers play in providing high quality 24-hour nursing care to millions of America’s seniors and individuals with disabilities.  ​ This year’s NSNCW theme—Cultivating Kindness—is inspired by the many…… Continue reading National Skilled Nursing Week

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The evening of Thursday, May 11, 2023, CMS posted LTC Survey Guide updates dated May 12, 2023. There are basically 2 components to this update, found beneath Downloads: Revision History for LTC Survey Process Documents and Files Updated 05/12/2023 (PDF) Survey Resources – 05/12/2023 (ZIP) [NOTE:…… Continue reading LTC Survey Guide Updated

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS posted Transmittal 12023 on May 8, 2023: This Change Request (CR) implements changes to enhance current claims processing edits. This CR is applicable to the Fiscal Intermediary Shared System (FISS) and the Common Working File (CWF). SNFs billing on Type of Bill (TOB) 21X and…… Continue reading SNF PPS PDPM Claims Processing Updates to Current Editing

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has posted the iQIES MDS Frequently Asked Questions for Providers, version 1.0 with the date of April 25, 2023. This is a 7-page document. Be sure to share this document with your Provider Security Official (PSO) and anyone else that submits MDS and/or retrieves reports…… Continue reading iQIES MDS FAQs for Providers

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Today, May 4, 2023, CMS issued Transmittal 12015 with same title as this blog. The Comprehensive Error Rate Testing (CERT) program for SNFs (skilled nursing facility) projected an improper payment rate of 15.1 percent in 2022, up from 7.79% in 2021. SNF service errors were determined…… Continue reading Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The April 2023 State-Level Cut Point Tables can be found here. The Centers for Medicare & Medicaid Services (CMS) has enhanced its Nursing Home Compare public reporting site to include a set of quality ratings for each nursing home that participates in Medicare or Medicaid. The…… Continue reading Five Star Quality Rating System State-Level Cut Point Tables Updated April 26, 2023