National Skilled Nursing Week

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

SNF PPS PDPM Claims Processing Updates to Current Editing

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

Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review

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

Five Star Quality Rating System State-Level Cut Point Tables Updated April 26, 2023

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

Care Compare April Refresh of SNF QRP Data Now Available

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The April 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 April Refresh of SNF QRP Data Now Available

Optional State Assessment (OSA) Item Set and OSA Manual Released

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare April 24, 2023 NOW AVAILABLE: Optional State Assessment (OSA) Item Set and OSA Manual The Optional State Assessment (OSA) Item Set, OSA Manual, and OSA Change History table are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page.…… Continue reading Optional State Assessment (OSA) Item Set and OSA Manual Released