Fiscal Year (FY) 2024 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice Quality Reporting Program Requirements, and Hospice Certifying Physician Provider Enrollment Requirements Proposed Rule (CMS-1787-F)

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On July 28, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1787-F) that provides updates to the fiscal year (FY) 2024 Hospice Quality Reporting Program (HQRP). This rule includes updates on HOPE, future quality measures, , and provides updates to the…… Continue reading Fiscal Year (FY) 2024 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice Quality Reporting Program Requirements, and Hospice Certifying Physician Provider Enrollment Requirements Proposed Rule (CMS-1787-F)

Upcoming iQIES Service Center Hold Times

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Due to the Payroll Based Journal (PBJ) quarterly deadline, the iQIES Service Center is projecting an increase in the volume of calls and emails between now and August 14, 2023.  Live phone and email support for the Monday, August 14, 2023, PBJ Deadline will be available until Monday, August 14, 2023,…… Continue reading Upcoming iQIES Service Center Hold Times

SNF Provider Preview Reports Now Available

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare REMINDER: The Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the October 2023 refresh. The data contained within the Preview Reports…… Continue reading SNF Provider Preview Reports Now Available

Five-Star Quality Rating System: Technical Users’ Guide State-Level Health Inspection Cut Point Table – July 26, 2023

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare 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 ratings take the form of several “star” ratings for each nursing…… Continue reading Five-Star Quality Rating System: Technical Users’ Guide State-Level Health Inspection Cut Point Table – July 26, 2023

Examination of Staffing Shortages at US Nursing Homes During the COVID-19 Pandemic

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Examination of Staffing Shortages at US Nursing Homes During the COVID-19 Pandemic was published in JAMA Network Open on July 27, 2023.  You’ll find the link to open this publication as a PDF (easier to read) on this landing page. Key Points Question: Do nursing home…… Continue reading Examination of Staffing Shortages at US Nursing Homes During the COVID-19 Pandemic

Appendix B – RAI User’s Manual Updated

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The July update of Appendix B to the RAI 3.0 User’s Manual contains changes to the list of State RAI Coordinators, MDS Automation Coordinators, RAI Panel members, and CMS locations and contacts.  Appendix B_July 2023 Changes to Appendix B_July 2023

Minnesota will Require the Optional State Assessment Effective Oct. 1, 2023

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Beginning Oct. 1, 2023, the Centers for Medicare and Medicaid Services will no longer support Resource Utilization Group (RUG-IV) grouper calculations for OBRA and PPS assessments. In consultation with Minnesota Nursing Facility stakeholders, adopting the use of the Optional State Assessment (OSA) was determined to be the…… Continue reading Minnesota will Require the Optional State Assessment Effective Oct. 1, 2023

AHCA Letters to President Biden Offers Suggestions to Improve Quality of Care and Address the Impending Federal Staffing Mandate

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare AHCA/NCAL sent a letter to President Biden on July 24, 2023 that included 4 proposals to “help nursing homes continue to improve the quality of care they provide to our nation’s seniors and individuals with disabilities.” “In the enclosed document, we outline four policy proposals in…… Continue reading AHCA Letters to President Biden Offers Suggestions to Improve Quality of Care and Address the Impending Federal Staffing Mandate

Hospices in Four States to Receive Extra Scrutiny Over Concerns of Fraud, Waste and Abuse

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare “Last week, regulators rolled out enhanced oversight for new hospices in Arizona, California, Nevada and Texas. The Centers for Medicare and Medicaid Services, which pays for most of American hospice care, announced that this change was spurred by “numerous reports of hospice fraud, waste, and abuse” and “serious…… Continue reading Hospices in Four States to Receive Extra Scrutiny Over Concerns of Fraud, Waste and Abuse

MN Department of Health – Division of Health Regulation is Accepting Comments: Possible Amendment to Rules Governing Nursing Home Licensure

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Subject of Rules. The Minnesota Department of Health requests comments on its possible amendment to rules governing nursing home licensure. The department is considering rule amendments that incorporate new change of ownership language in Minn. Stat. 144A, enacted in 2022, that clarifies the change of ownership…… Continue reading MN Department of Health – Division of Health Regulation is Accepting Comments: Possible Amendment to Rules Governing Nursing Home Licensure