Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Iowa Medicaid posted Optional State Assessment And Patient-Driven Payment Model For Case Mixtoday (Monday, April 3, 2023). As noted in Informational Letter (IL) 2052-MC-FFS1 , the Centers for Medicare and Medicaid Services (CMS) implemented the PDPM effective October 1, 2019. All scheduled prospective payment system (PPS)…… Continue reading Iowa SNF/LTC Providers: Medicaid Case Mix – October 1, 2023
Category: INDUSTRY NEWS
Updates on all the industry news you need to stay compliant!
Draft MDS 3.0 RAI User’s Manual version 1.18.11 and Final MDS 3.0 Item Sets version 1.18.11 Now Available
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The DRAFT Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual version (v)1.18.11 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The MDS 3.0 RAI User’s Manual v1.18.11 will be effective beginning…… Continue reading Draft MDS 3.0 RAI User’s Manual version 1.18.11 and Final MDS 3.0 Item Sets version 1.18.11 Now Available
New Resource for Hospice Quality Reporting Program: CAHPS Hospice Survey – Care Compare Data Refresh Schedule
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has prepared a fact sheet that summarizes CAHPS data refreshes on Care Compare. This resource is available in the Downloads section of the Public Reporting: Key Dates for Providers page. If you have questions about accessing the resource or feedback regarding trainings, please email the PAC…… Continue reading New Resource for Hospice Quality Reporting Program: CAHPS Hospice Survey – Care Compare Data Refresh Schedule
Strengthened Enhanced Enforcement for Infection Control Deficiencies and Quality Improvement Activities in Nursing Homes
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS just posted QSO-23-10-NH (4 pages) with the same title as this blog. Please review this Memorandum with your team and share it will your colleagues. The entire Memorandum is important so be sure to review it in its entirety, including these items on the last…… Continue reading Strengthened Enhanced Enforcement for Infection Control Deficiencies and Quality Improvement Activities in Nursing Homes
What Problems has OIG Identified with the Hospice Program?
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Hospice care is for terminally ill patients who decide to forgo curative treatment and instead receive palliative care. To be eligible, a patient must be certified as having a terminal illness with a life expectancy of six months or less if the illness runs its normal…… Continue reading What Problems has OIG Identified with the Hospice Program?
Upcoming SNF/LTC Open Door Forum – April 13, 2023
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 Upcoming SNF/LTC Open Door Forum – April 13, 2023
Enhancements to PDPM Claim Edits to Improve Claim Processing
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS posted Transmittal 11932 on March 29, 2023 – same title as this blog. I. GENERAL INFORMATION A. Background: This Change Request (CR) implements changes to correct claims processing edits. This CR is applicable to the Fiscal Intermediary Shared System (FISS) and the Common Working File…… Continue reading Enhancements to PDPM Claim Edits to Improve Claim Processing
Important Updates on the Hospice Quality Reporting Program (HQRP)
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Swingtech sends informational messages to hospices related to the Quality Reporting Program (QRP) on a quarterly basis. Their latest outreach communication can be found on the HQRP Requirements and Best Practices web page. If you want to receive Swingtech’s quarterly emails, then add or update the…… Continue reading Important Updates on the Hospice Quality Reporting Program (HQRP)
March 2023 Update RAI User’s Manual: Appendix B
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The March 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 03242023 Changes to Appendix B_2023
Revised Guidance and Survey Process for Reviewing Home Dialysis Services
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS posted a revised QSO-18-24-ESRD – same title as this blog – on Wednesday, March 22, 2023. There is a great deal of red ink in this Memorandum (10 pages with an 11-page survey process attachment) so be sure to review it carefully with your team…… Continue reading Revised Guidance and Survey Process for Reviewing Home Dialysis Services
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