Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS issued Transmittal 12146 on July 21, 2123. It carries the same title as the blog. This Change Request (CR) (4 pages) implements changes to correct claims processing edits. This CR is applicable to the Fiscal Intermediary Shared System (FISS) and the Common Working File (CWF).…… Continue reading Patient Driven Payment Model (PDPM) Corrections to Claims Processing Edits

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare “ProPublica has updated “Nursing Home Inspect,” our database that helps you find problems that inspectors identified in more than 15,000 U.S. nursing homes, to make it easier to search government reports and browse serious issues. We’ve added new data, a redesigned user interface and advanced search…… Continue reading ProPublica Updates Nursing Home Inspect Database

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Five Star Preview Reports will be available on or around July 19, 2023. To access these reports, select the CASPER Reporting link located on the CMS QIES Systems for Providers page. Once in the CASPER Reporting system, select the ‘Folders’ button, then select ‘My Inbox’ or the Inbox…… Continue reading Five-Star Preview Reports Available

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Changes to the Nursing-Home Level Exclusion Criteria: Effective with the July 2023 refresh, CMS revised the nursing-home level exclusion criteria on erroneously high number of administrators applied to the administrator turnover measure. Previously, if a nursing home submitted Payroll-Based Journal (PBJ) data and reported administrator hours…… Continue reading Care Compare Nursing Home Five-Star Quality Rating Technical Users’ Guide – July 2023

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Coalition is excited to share nine Action Plans for nursing home quality improvement! Each is an opportunity to improve the quality of life and work of nursing home residents and staff. Please consider joining us in this team effort to make every nursing home a community…… Continue reading Moving Forward NH Quality Coalition Introduces 9 Action Plans

 Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Recent severe weather events have highlighted the need for and importance of emergency power systems for nursing homes. Nursing homes are required to provide an alternate source of energy (usually a generator) to maintain temperatures to protect residents’ health and safety, as well as for food…… Continue reading July 2023 OIG Work Plan Addition: Audit of Nursing Homes’ Emergency Power Systems