CMS Did Not Accurately Report on Care Compare One or More Deficiencies Related to Health, Fire Safety, and Emergency Preparedness for an Estimated Two-Thirds of Nursing Homes

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare “For 67 of the 100 sampled nursing homes, CMS did not accurately report on Care Compare 1 or more deficiencies that surveyors identified during yearly and complaint inspections. The deficiencies consisted of health deficiencies for 34 nursing homes, fire safety deficiencies for 52 nursing homes, and…… Continue reading CMS Did Not Accurately Report on Care Compare One or More Deficiencies Related to Health, Fire Safety, and Emergency Preparedness for an Estimated Two-Thirds of Nursing Homes

MDS 3.0 Care Area Trigger (CAT) Specifications Posted for Implementation October 1, 2023

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The MDS 3.0 CAT specifications (V1.06.0) are now available in theDownloads section below.  The specifications currently consist of the PDF documentation files, which describe the logic changes and provide pseudocode.  Note that many of the CAT triggers are changing as a result of the V3.01.0 MDS…… Continue reading MDS 3.0 Care Area Trigger (CAT) Specifications Posted for Implementation October 1, 2023

Updated Agenda: April 13, 2023 CMS SNF/LTC Open Door Forum

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The next CMS Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum scheduled for:   Date:  Thursday, April 13, 2023 Start Time:  2:00 PM – 3:00 PM Eastern Time (ET) Please dial-in at least 15 minutes before call start time. Conference Leaders: Todd Smith &…… Continue reading Updated Agenda: April 13, 2023 CMS SNF/LTC Open Door Forum

Expanded HHVBP Model Resources

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On March 30, 2023, the HHVBP Model Technical Assistance (TA) Team hosted the live streaming event, Strategies for Success Self-Assessment Tool. During this event, the TA Team provided home health agencies (HHAs) with an introduction to a quality improvement self-assessment and planning tool that HHAs can…… Continue reading Expanded HHVBP Model Resources

PEPPER Training & Resources for Skilled Nursing Facilities

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Q4FY22 SNF PEPPER Review – Webinar When: Tuesday, April 11, 2023,  3 – 4 p.m. EDTWhat: A WebEx presented by the RELI GroupTopic: This webinar will include the history/background of PEPPER, a high-level review of the target areas, a walk-through of a sample PEPPER, and guidance…… Continue reading PEPPER Training & Resources for Skilled Nursing Facilities

Home Health Preview Reports and Star Rating Preview Reports for the July 2023 Refresh

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) will be based on the standard number of quarters. The July 2023 refresh will add a new claims-based measure for public reporting: Potentially Preventable Hospitalizations (PPH) Due to the COVID-19 reporting exceptions, the claims-based…… Continue reading Home Health Preview Reports and Star Rating Preview Reports for the July 2023 Refresh

FY 2024 DRAFT PDPM ICD-10 Mapping and FY 2024 PDPM Case-Mix Adjusted Federal Rates and Associated Indexes

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Along with the posting of the FY2024 SNF PPS Proposed Rule, the FY2024 DRAFT PDPM ICD-10 Mapping is available. Once you access the .zip file, it opens to reveal: Also available are the FY2024 PDPM Case-Mix Adjusted Federal Rates and Associated Indexes: Here’s what you’ll see…… Continue reading FY 2024 DRAFT PDPM ICD-10 Mapping and FY 2024 PDPM Case-Mix Adjusted Federal Rates and Associated Indexes

What to Expect with the Minimum Data Set (MDS) Transition to iQIES on April 17, 2023 and Sample iQIES MDS 3.0 Reports

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On April 17, 2023, the Centers for Medicare & Medicaid Services (CMS) will transition to the Internet Quality Improvement and Evaluation System (iQIES) for Minimum Data Set (MDS) record submissions and reports.  As part of this transition, the QIES Assessment Submission And Processing (ASAP) system for MDS…… Continue reading What to Expect with the Minimum Data Set (MDS) Transition to iQIES on April 17, 2023 and Sample iQIES MDS 3.0 Reports

FY2024 Hospice Payment Rate Update Proposed Rule (CMS-1787-P)

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On March 31, 2023, CMS posted FY2024 Hospice Payment Rate Update Proposed Rule Fact Sheet. On March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1787-P) that would update Medicare hospice payments and the aggregate cap amount for fiscal year…… Continue reading FY2024 Hospice Payment Rate Update Proposed Rule (CMS-1787-P)

Fiscal Year (FY) 2024 SNF PPS Proposed Rule (CMS 1779-P)

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare It’s a big week for CMS postings and lots of reading materials.  CMS posted this FY2024 SNF PPS Proposed Rule Fact Sheet on April 4, 2024. On April 4, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare…… Continue reading Fiscal Year (FY) 2024 SNF PPS Proposed Rule (CMS 1779-P)