Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) initial claims that are processed out of sequence are not paying the correct Variable Per Diem (VPD)-adjusted rate. Also, all adjustment claims are not processing correctly. Claims need to process in date of service order for…… Continue reading SNF PDPM Claims Issue

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS updated both the CASPER Reporting User’s Guide for PBJ Providers and MDS Providers this week. When you open this hyperlink, this is what you’ll see: Click on the MDS Providers field (or + sign) to see these contents: The cover has been updated because…… Continue reading CASPER Guides for PBJ Reports Updated

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare An updated version (January 2020) of the General User, Registration and Submission FAQ is now available.  The 9-page FAQ includes information for new PBJ Users, answers to common data specification and submission questions as well as helpful links to find more detailed information. Information for…… Continue reading Updated PBJ FAQ Document

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare On Valentine’s Day, CMS issued QSO-20-11-NH with same title as the title of this blog. As you can see from the summary, these toolkits address high-quality sleep for residents with dementia as well as education and interventions to prevent common infections by improving ADL care.…… Continue reading Release of Additional Toolkits to Ensure Safety and Quality in Nursing Homes

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare SNF QRP Quick Reference Guides for FY2021 and FY2022 have just been posted. The Quick Reference Guides provide high-level information on the SNF Quality Reporting Program, including frequently asked questions and helpful links, including Help Desk Assistance addresses and links to claims-based measures. “The IMPACT…… Continue reading Quick Reference Guides for SNF QRP

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare “Today the Centers for Medicare & Medicaid Services (CMS) released a Notice of Proposed Rulemaking (NPRM) to propose revised regulations for Preadmission Screening and Resident Review (PASRR). Sections 1919(b)(3)(F) and (e)(7) of the Social Security Act require that all applicants to and residents of Medicaid-certified…… Continue reading Preadmission Screening and Resident Review (PASRR) Notice of Proposed Rulemaking (NPRM)

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Maybe it’s my age or my tenure in the LTC field the past 40+ years.  I found this Thirty-Year Trends in Nursing Home Composition and Quality Since the Passage of the Omnibus Reconciliation Act study published in JAMDA (Journal of the American Medical Directors Association)…… Continue reading Thirty-Year Trends in Nursing Home Composition and Quality Since the Passage of OBRA

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare No policy changes are conveyed in Change Request: 11632 but the posting is something you should be aware of.  CMS is correcting previous modification errors with edits made previously.  Here’s the gist of this CR (bolding added by me for emphasis): SUMMARY OF CHANGES: This…… Continue reading Second Update to CR 11152 Implementation of SNF PDPM Corrects Previous Errors

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare In case you’re not aware of this January 2020 announcement, please review the announcement and bookmark the new URL for future reference. “The Iowa PASRR program’s online resources now have a new home. Last year, MAXIMUS launched a comprehensive website redesign, which features a more…… Continue reading IOWA PROVIDERS: New Iowa PASRR Providers Website Now Available

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare According to a OIG Report in Brief – February 2020, deficiencies related to life safety and/or emergency preparedness were found in 18 of the 20 nursing homes audited – 235 specifically related to life safety requirements and 55 related to emergency preparedness requirements.  “As a…… Continue reading OIG – Life Safety and Emergency Preparedness Deficiencies: 18 of 20 Texas NHs