Implementation of the SNF Patient Driven Payment Model

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare “Transmittal 2299, dated May 3, 2019, is being rescinded and replaced by Transmittal 2366 dated, October 3, 2019, to add new business requirement 11152.11 and new HIPPS codes file attachment. All other information remains the same. This Change Request 11152/Transmittal 2366 will implement the Skilled…… Continue reading Implementation of the SNF Patient Driven Payment Model

CMS Posts a Revision to the PDPM DLL Package

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare As reported on Friday, October 4th, CMS has posted a  revision to the PDPM DLL Package to correct four bugs that were identified after the V1.0002 release (September 27, 2019).  The package contains updated test files and documentation.   This revision package will be installed by…… Continue reading CMS Posts a Revision to the PDPM DLL Package

SNF PDPM Assessments and Grouper Update

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS issued the following statements late afternoon, Friday, October 4, 2019: CMS is aware of issues with the latest PDPM DLL Package (V1.0002 FINAL). We are targeting to release an updated version on Monday, October 7, 2019, which corrects the identified grouper discrepancies. SNF providers…… Continue reading SNF PDPM Assessments and Grouper Update

IOWA LTC PROVIDERS: Information from the IA MDS Automation Coordinator re: State Case-Mix/OSA

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare A lot of information/clarification regarding the use of the Optional State Assessment (OSA) has been provided this afternoon, ahead of the October 1st implementation of the MDS 3.0 v1.17.1 Item Set and the PDPM classification/reimbursement system.  Iowa has long used the RUG-III grouper to provide…… Continue reading IOWA LTC PROVIDERS: Information from the IA MDS Automation Coordinator re: State Case-Mix/OSA

August 2019 CMS SNF QRP Training Sessions – Additional Information Available

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare A couple of days ago, I provided links to the individual August SNF QRP training videos.  CMS has also provided an all-in-one-place list of these training videos which is helpful to see all videos on 1 page and select the video you wish to view…… Continue reading August 2019 CMS SNF QRP Training Sessions – Additional Information Available

jRAVEN v1.7.0 Now Available for Download

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare If you are a SNF/LTC or Swing Bed facility and use jRAVEN software to encode and transmit MDS 3.0 data to CMS, the version you need to use starting October 1, 2019 is now available for download at https://qtso.cms.gov/software/jraven-170. The following was posted on the…… Continue reading jRAVEN v1.7.0 Now Available for Download

CMS released two final rules that impact home health and hospice agencies.

Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare #1. Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction; Fire Safety Requirements for Certain Dialysis Facilities; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care SUMMARY: This final rule Reforms Medicare regulations that are identified as unnecessary,…… Continue reading CMS released two final rules that impact home health and hospice agencies.