Category: INDUSTRY NEWS

Updates on all the industry news you need to stay compliant!

SNFs: COVID-19 Enforcement Discretion for Pharmacy Billing Ended June 30th

Posted in INDUSTRY NEWS, Long-Term Care

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare For flu, pneumococcal, and COVID-19 vaccines furnished on or after July 1, 2023, to patients in a Medicare Part A-covered skilled nursing facility (SNF) stay, immunizers can no longer bill Medicare directly. Typical SNF consolidated billing regulations are in place, which require SNFs to bill for…… Continue reading SNFs: COVID-19 Enforcement Discretion for Pharmacy Billing Ended June 30th

OASIS (Home Health) Error Message User Guide Updated

Posted in Home Care, INDUSTRY NEWS

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has posted the updated OASIS Error Message User Guide … Version 2.1 with the date of June 15, 2023. This is a 164-page document. The Interpreting Initial Feedback and Final Validation Reports is the companion guide.  It was last updated in December 2007 but is…… Continue reading OASIS (Home Health) Error Message User Guide Updated

APIC Calls for Dedicated Infection Prevention Staff at all Long-Term Care Facilities to Prevent Deaths of Seniors

Posted in INDUSTRY NEWS, Long-Term Care

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Better infection surveillance and trained surveyors are also necessary to keep nursing homes safe and accountable. Arlington, Va., June 20, 2023 – Highlighting an “astonishing lack of attention to infection prevention and control in nursing homes,” the nation’s infection preventionists, in advance of expected federal action on…… Continue reading APIC Calls for Dedicated Infection Prevention Staff at all Long-Term Care Facilities to Prevent Deaths of Seniors

Minnesota and LTC Medicaid Case Mix

Posted in INDUSTRY NEWS, Long-Term Care

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Last week (June 26, 2023), I contacted Nadine Olness, RN, MN RAI Coordinator/Case Mix Review to ask about Minnesota’s plan for using the MDS 3.0 v1.18.11 effective October 1, 2023 for case mix reimbursement. Ms. Olness’ reply (greatly appreciated!) was: “Minnesota will continue to Use the…… Continue reading Minnesota and LTC Medicaid Case Mix

Nebraska: Nursing Facility Reimbursement Model Migration from RUGs to PDPM

Posted in INDUSTRY NEWS, Long-Term Care

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare This provider bulletin is being issued to notify Medicaid nursing facility providers of the upcoming switch to the Patient Driven Payment Model (PDPM) for Minimum Data Set (MDS) assessments. Effective July 1, 2023, Nebraska Medicaid will switch from Resource Utilization Group III, Version 5.2 Grouper 34…… Continue reading Nebraska: Nursing Facility Reimbursement Model Migration from RUGs to PDPM

Home Health, Hospice & DME Open Door Forum Scheduled for Wednesday, July 12, 2023

Posted in INDUSTRY NEWS

Mary Madison, RN, RAC- CT, CDPClinical Consultant – Briggs Healthcare The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, July 12, 2023, PM at 3:30 PM-4:30 PM Eastern Time (ET). Note that you should register in advance for this webinar – this is a new/updated step to log into the…… Continue reading Home Health, Hospice & DME Open Door Forum Scheduled for Wednesday, July 12, 2023

CY2024 Home Health Proposed Rule

Posted in Home Care, INDUSTRY NEWS1 Comment

CY2024 Home Health Proposed Rule Mary Madison, RN, RAC- CT, CDPClinical Consultant – Briggs Healthcare Friday, June 30, 2023, CMS posted the public inspection copy of the Calendar Year 2024 Home Health PPS Proposed Rule.  This 392-page document is scheduled to be published in the Federal Register on 07/10/2023 and available online at federalregister.gov/d/2023-14044, and…… Continue reading CY2024 Home Health Proposed Rule

Posting of Nursing Home Ownership/Operatorship Affiliation Data on Nursing Home Care Compare Website and data.cms.gov

Posted in INDUSTRY NEWS, Long-Term Care

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare This morning (Wednesday, June 28, 2023), CMS posted QSO-23-18-NH (3 pages) with the same title as this blog. CMS will publish the Nursing Home Affiliated Entity Performance Measures dataset on data.cms.com. These data combine inspection, staffing, quality, and other performance metrics across affiliated entities. In doing…… Continue reading Posting of Nursing Home Ownership/Operatorship Affiliation Data on Nursing Home Care Compare Website and data.cms.gov