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
Category: INDUSTRY NEWS
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SNF QRP Help Desk Q&A and October 2018 Updates Posted
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
Revisions to the State Operations Manual (SOM) Chapter 7
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
Fact Sheet on Transitions for New Quality Measures and Data Elements – SNF QRP
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® Last week on November 6th, CMS posted a 2-page Fact Sheet on Transitions for New Quality Measures and Data Elements, Effective October 1, 2018. [SNF Quality Reporting Program FAQs website is where FAQ documents on SNF QRP have been posted since June 2017.] This Fact…… Continue reading Fact Sheet on Transitions for New Quality Measures and Data Elements – SNF QRP
[breaking news] CMS issued a final rule (CMS-1689-FC) that updates the Medicare HH PPS rates & wage index for CY 2019
Sharon Hamilton RN, MS Briggs Healthcare Clinical Consultant CMS-1689-F The Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1689-FC) that updates the Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2019. The final rule results in a 2.2 percent increase ($420 million) in payments to…… Continue reading [breaking news] CMS issued a final rule (CMS-1689-FC) that updates the Medicare HH PPS rates & wage index for CY 2019
Review Your Five-Star Preview Report Carefully – There is an Identified Issue
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® On October 23, 2018, CMS posted this information for providers: Notice: Five Star Preview Reports Oct 23, 2018 The Five Star Preview Reports will be available on October 25, 2018. To access these reports, select the CASPER Reporting link located on the CMS QIES Systems…… Continue reading Review Your Five-Star Preview Report Carefully – There is an Identified Issue
Assisted Living Residents Need Stronger Protections
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® The title of this blog (and an excerpted subtitle in one of the reports) sums up the findings of two (2) significant reports this year on the status of Assisted Living. The February 2018 GAO Report examined state and Federal oversight of assisted living services…… Continue reading Assisted Living Residents Need Stronger Protections
Inaugural Release of SNF QRP Data on Nursing Home Compare Website
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® Today, October 24, 2018, “CMS is announcing the inaugural release of the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) quality data on Nursing Home (NH) Compare. Section 1899B(g)(1) of the Social Security Act requires CMS to provide for the public reporting of SNF provider…… Continue reading Inaugural Release of SNF QRP Data on Nursing Home Compare Website
Updated Hand in Hand Dementia Training Series Available
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® CMS announced, during the SNF/LTC Open Door Forum on October 11, 2018, that the Hand in Hand Training Series for Dementia has been updated and is now available for nursing homes. The Self-Paced Online training is available online. The Downloadable Materials for Instructor-Led Training are…… Continue reading Updated Hand in Hand Dementia Training Series Available
Physician Certification and Recertification of Residents in SNF
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® On October 5, 2018, CMS published Transmittal 832. This transmittal is also known as Change Request 10921 and is a modification to Chapter 6, Section 6.3 (Medical Review of Certification and Recertification of Residents in SNFs) of the Medicare Program Integrity Manual (Publication 100-08). “The…… Continue reading Physician Certification and Recertification of Residents in SNF
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