Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Reminder: April 2023 Pre-Implementation Performance Report Available on iQIES CMS issued the April 2023 Pre-Implementation Performance Report (PIPR) to competing HHAs via the Internet Quality Improvement Evaluation System (iQIES). Instructions on how to access the PIPR are available on the Expanded HHVBP Model webpage under “Model…… Continue reading Expanded HHVBP Model: April PIPR and Updated Measure Calculation Resources
Category: INDUSTRY NEWS
Updates on all the industry news you need to stay compliant!
SNF/IRF/LTCH QRP May 15, 2023 Submission Deadline Reminder
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The submission deadline for the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) Quality Reporting Programs is approaching. IRF Patient Assessment Instrument (IRF-PAI) assessment data and data submitted to Centers for Medicare & Medicaid Services (CMS) via the Centers for Disease…… Continue reading SNF/IRF/LTCH QRP May 15, 2023 Submission Deadline Reminder
Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Today, May 4, 2023, CMS issued Transmittal 12015 with same title as this blog. The Comprehensive Error Rate Testing (CERT) program for SNFs (skilled nursing facility) projected an improper payment rate of 15.1 percent in 2022, up from 7.79% in 2021. SNF service errors were determined…… Continue reading Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review
Washington State: Adult Family Homes, Assisted Living Facilities and Enhanced Services Facilities Timeline of Transitions to Behavioral Health Personal Care (BHPC) Delayed
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On April 23, 2023, the legislature released the anticipated conference budget. Based on our review, funding was not provided to implement a new 1915(i) benefit on July 1, 2023 (as described in the message below). Based on budget language, the Health Care Authority anticipates a new implementation date…… Continue reading Washington State: Adult Family Homes, Assisted Living Facilities and Enhanced Services Facilities Timeline of Transitions to Behavioral Health Personal Care (BHPC) Delayed
Five Star Quality Rating System State-Level Cut Point Tables Updated April 26, 2023
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The April 2023 State-Level Cut Point Tables can be found here. 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…… Continue reading Five Star Quality Rating System State-Level Cut Point Tables Updated April 26, 2023
April 2023 Updates to RAI User’s Manual – Appendix B
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The April 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 04212023 Changes to Appendix B_April_2023 This month’s changes are:
Care Compare April Refresh of SNF QRP Data Now Available
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The April 2023 refresh of the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC). The data are based on quality assessment data submitted by SNFs to Centers for Medicare & Medicaid Services (CMS) from…… Continue reading Care Compare April Refresh of SNF QRP Data Now Available
Home Health Quality Reporting Program: Care Compare Quarterly Refresh April 2023
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The April 2023 quarterly refresh for the Home Health Quality Reporting Program is now available on Care Compare. For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) will be based on the standard number of quarters. For additional information on the COVID-19 public health…… Continue reading Home Health Quality Reporting Program: Care Compare Quarterly Refresh April 2023
Optional State Assessment (OSA) Item Set and OSA Manual Released
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare April 24, 2023 NOW AVAILABLE: Optional State Assessment (OSA) Item Set and OSA Manual The Optional State Assessment (OSA) Item Set, OSA Manual, and OSA Change History table are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page.…… Continue reading Optional State Assessment (OSA) Item Set and OSA Manual Released
SNF PPS PDPM Claims Processing Updates to Current Editing
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare April 21, 2023, CMS posted Transmittal 11988 with same title as this blog. An accompanying MLN Matters Number: MM13149 was also posted.
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