Updated Resource Available: BIMS Video Tutorial

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Centers for Medicare & Medicaid Services (CMS) is offering an updated video tutorial to assist providers with guidance application and interview strategies for the cognitive assessment known as the Brief Interview for Mental Status (BIMS) found in the MDS 3.0 RAI v1.18.11, effective October 1,…… Continue reading Updated Resource Available: BIMS Video Tutorial

What Share of Nursing Facilities Would Meet Possible New Staffing Requirements?

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare This article is a very interesting read.  It was posted by the Kaiser Family Foundation on Friday, July 14, 2023 – same title as this blog. I encourage you to review and share it with your team and colleagues. “This data note explores the current state…… Continue reading What Share of Nursing Facilities Would Meet Possible New Staffing Requirements?

The Joint Commission, in Collaboration with the Alzheimer’s Association, Launches Memory Care Certification for Assisted Living Communities

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Tuesday, July 11, 2023. The Joint Commission, in collaboration with the Alzheimer’s Association, launched Memory Care Certification for Assisted Living Communities(ALCs) on July 1. The voluntary, specialty certification recognizes Joint Commission-accredited ALCs that meet its standards to support the delivery of high-quality care for residents diagnosed with…… Continue reading The Joint Commission, in Collaboration with the Alzheimer’s Association, Launches Memory Care Certification for Assisted Living Communities

Period of Enhanced Oversight for New Hospices in Arizona, California, Nevada, & Texas 

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS is placing newly enrolling hospices located in Arizona, California, Nevada, and Texas in a provisional period of enhanced oversight. Over the last 12 months, we’ve received numerous reports of hospice fraud, waste, and abuse. The number of enrolled hospices has also increased significantly in these…… Continue reading Period of Enhanced Oversight for New Hospices in Arizona, California, Nevada, & Texas 

SNF Provider Preview Reports Now Available

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare 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 are…… Continue reading SNF Provider Preview Reports Now Available

New York State Medicaid Case Mix: No OSA – Transitioning to PDPM

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare DOH unveils intent to freeze case mix, aspiration to transition from RUGs to PDPM case mix methodology. In a meeting with LeadingAge NY and other associations earlier today (July 11th) on nursing home Medicaid issues, Department of Health (DOH) Bureau of Long Term Care Rate Setting…… Continue reading New York State Medicaid Case Mix: No OSA – Transitioning to PDPM

National Association for Home Care and Hospice (NAHC) Files Lawsuit to Block Medicare Rate Cuts

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare NAHC filed a lawsuit against the Secretary of the United States Department of Health and Human Services last week (July 5, 2023) to block CMS from cutting Medicare rates that are expected to total over $18 billion over the next 10 years. The 30-page complaint can…… Continue reading National Association for Home Care and Hospice (NAHC) Files Lawsuit to Block Medicare Rate Cuts

Rhode Island – Medicaid Case Mix Reimbursement

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Rhode Island will require the use of the Optional State Assessment (OSA) for Nursing Facilities Reimbursement effective October 1, 2023 Background: The Centers for Medicare & Medicaid Services (CMS) is ending support for Resource Utilization Groups (RUG)-III and RUG-IV on federally required assessments for patients residing…… Continue reading Rhode Island – Medicaid Case Mix Reimbursement

Ohio Budget and Medicaid Reimbursement

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare “This communication serves as an update for all nursing facility providers regarding changes in reimbursement as a result of Am. Sub. H.B. 33, the states FY24-25 biennial budget. Please share this with corporate staff, nursing facility administrators, billing staff, MDS nurses, etc. as needed. July rates…… Continue reading Ohio Budget and Medicaid Reimbursement

UPDATED: Final MDS 3.0 Item Sets Version 1.18.11 v4

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The final Minimum Data Set (MDS) 3.0 Item Sets version (v)1.18.11 have been updated and are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The IPA, NP, and SP Item Sets have been replaced with…… Continue reading UPDATED: Final MDS 3.0 Item Sets Version 1.18.11 v4