Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® If you haven’t registered yet for next Tuesday’s PDPM call, there’s still time but the clock is ticking. If you are involved in any way with skilled care reimbursement in a SNF/LTC facility, you’ll want to attend this audio call. Note that attendees are encouraged…… Continue reading SNF PPS: New Patient Driven Payment Model Call – December 11, 2018

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® CMS posted an informational bulletin on December 6, 2018 outlining the upcoming Medicaid case-mix payment changes as they relate to the implementation of the PDPM (Patient Driven Payment Model) classification/reimbursement system on October 1, 2019. These are the key points for the change: On October…… Continue reading Nursing Facility Case-Mix Payment Changes Announced

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® All of the information below was released on Friday, November 30th via QSO 19-02-NH and CMS Strengthens Nursing Home Oversight and Safety to Ensure Adequate Staffing – Press Release. Notification to States and CMS Regional Offices While CMS is encouraged by facilities’ efforts to improve…… Continue reading CMS Issues PBJ Updates, 2 New MDS Reports and Notifications to State/Regional Offices

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® The proposed agenda for the next Skilled Nursing Facilities/Long Term Care Open Door Forum is scheduled for Thursday, November 29, 2018 from 2pm-3pm ET is as follows: Announcements & Updates: *Patient Driven Payment Model Update [https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/PDPM.html , PDPM@cms.hhs.gov , MLN – National Provider Call (Tuesday, December 11,…… Continue reading SNF/LTC Open Door Forum – Thursday, November 29, 2018

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® Last week, I wrote about the launch of the Civil Money Penalty Reinvestment Program (CMPRP), a three-year effort to reduce adverse events, improve staffing quality and improve dementia care in nursing homes. In that blog, I included the website link to access the first of…… Continue reading CMS Provides Correct Link for Nursing Home Staff Competency Assessment Toolkit

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® “Today, the Centers for Medicare & Medicaid Services (CMS) announced upcoming efforts to support better care and outcomes for nursing home residents under the Civil Money Penalty Reinvestment Program (CMPRP). This three-year initiative aims to improve residents’ quality of life by equipping nursing home staff,…… Continue reading CMS Launches Efforts to Improve Patient Safety, Quality of Care in Nursing Homes

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® At 2pm on the afternoon of November 19, 2018, CMS introduced a new website that includes “a variety of educational and training resources to assist stakeholders in preparing for PDPM implementation.” As you know, SNFs will using the Patient Driven Payment Model (PDPM) – a…… Continue reading New CMS Website for SNFs – Patient Driven Payment Model

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® Description On October 1, 2019, the new Patient Driven Payment Model (PDPM) is replacing Resource Utilization Group, Version IV (RUG-IV) for the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). Topics: Overview of PDPM, a new case-mix classification system for SNF Part A beneficiaries Changeover…… Continue reading SNF PPS: New Patient Driven Payment Model Call

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® CMS posted the most recent SNF Quality Reporting Program Questions and Answers as well as an October 2018 Quarterly Update document on November 14, 2018 (the date provided for website modification). “This document (12 pages) is intended to provide guidance on questions that were received…… Continue reading SNF QRP Help Desk Q&A and October 2018 Updates Posted

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® On November 16, 2018, CMS posted the revised Chapter 7 – Survey and Enforcement Process for Skilled Nursing Facilities and Nursing Facilities. The revisions were announced via Transmittal 185, noting that they “reflect the guidance related to the Immediate Imposition of Federal Remedies. Sections of…… Continue reading Revisions to the State Operations Manual (SOM) Chapter 7