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, April 13, 2023 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 Updated Agenda: April 13, 2023 CMS SNF/LTC Open Door Forum

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Q4FY22 SNF PEPPER Review – Webinar When: Tuesday, April 11, 2023,  3 – 4 p.m. EDTWhat: A WebEx presented by the RELI GroupTopic: This webinar will include the history/background of PEPPER, a high-level review of the target areas, a walk-through of a sample PEPPER, and guidance…… Continue reading PEPPER Training & Resources for Skilled Nursing Facilities

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Along with the posting of the FY2024 SNF PPS Proposed Rule, the FY2024 DRAFT PDPM ICD-10 Mapping is available. Once you access the .zip file, it opens to reveal: Also available are the FY2024 PDPM Case-Mix Adjusted Federal Rates and Associated Indexes: Here’s what you’ll see…… Continue reading FY 2024 DRAFT PDPM ICD-10 Mapping and FY 2024 PDPM Case-Mix Adjusted Federal Rates and Associated Indexes

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On April 17, 2023, the Centers for Medicare & Medicaid Services (CMS) will transition to the Internet Quality Improvement and Evaluation System (iQIES) for Minimum Data Set (MDS) record submissions and reports.  As part of this transition, the QIES Assessment Submission And Processing (ASAP) system for MDS…… Continue reading What to Expect with the Minimum Data Set (MDS) Transition to iQIES on April 17, 2023 and Sample iQIES MDS 3.0 Reports

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare It’s a big week for CMS postings and lots of reading materials.  CMS posted this FY2024 SNF PPS Proposed Rule Fact Sheet on April 4, 2024. On April 4, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare…… Continue reading Fiscal Year (FY) 2024 SNF PPS Proposed Rule (CMS 1779-P)

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Iowa Medicaid posted Optional State Assessment And Patient-Driven Payment Model For Case Mixtoday (Monday, April 3, 2023). As noted in Informational Letter (IL) 2052-MC-FFS1 , the Centers for Medicare and Medicaid Services (CMS) implemented the PDPM effective October 1, 2019. All scheduled prospective payment system (PPS)…… Continue reading Iowa SNF/LTC Providers: Medicaid Case Mix – October 1, 2023

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The DRAFT Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual version (v)1.18.11 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The MDS 3.0 RAI User’s Manual v1.18.11 will be effective beginning…… Continue reading Draft MDS 3.0 RAI User’s Manual version 1.18.11 and Final MDS 3.0 Item Sets version 1.18.11 Now Available

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS just posted QSO-23-10-NH (4 pages) with the same title as this blog. Please review this Memorandum with your team and share it will your colleagues. The entire Memorandum is important so be sure to review it in its entirety, including these items on the last…… Continue reading Strengthened Enhanced Enforcement for Infection Control Deficiencies and Quality Improvement Activities in Nursing Homes

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, April 13, 2023 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 Upcoming SNF/LTC Open Door Forum – April 13, 2023

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS posted Transmittal 11932 on March 29, 2023 – same title as this blog. I. GENERAL INFORMATION A. Background: This Change Request (CR) implements changes to correct claims processing edits. This CR is applicable to the Fiscal Intermediary Shared System (FISS) and the Common Working File…… Continue reading Enhancements to PDPM Claim Edits to Improve Claim Processing