Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare “The American Health Care Association (AHCA), representing more than 14,000 nursing homes and other long term care facilities across the country, released a survey of more than 500 nursing home providers from across the U.S. highlighting how nearly three years into the COVID-19 pandemic, the industry…… Continue reading AHCA/NCAL Survey: Nursing Home Providers Workforce Say and Economic Challenges Persist
Category: INDUSTRY NEWS
Updates on all the industry news you need to stay compliant!
Estimates of Medicaid Nursing Facility Payments Relative to Costs
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare January 3, 2023 … MACPAC (Medicaid and CHIP Payment and Access Commission), a non-partisan legislative branch agency that provides policy and data analysis and makes recommendations to Congress on Medicaid programs, released this 19-page report that is worth your attention. I encourage you to share it…… Continue reading Estimates of Medicaid Nursing Facility Payments Relative to Costs
CMS QI Voices: Improving COVID-19 Outcomes in Nursing Homes Across America
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Centers for Medicare & Medicaid Services CMS QI Voices: Improving COVID-19 Outcomes in Nursing Homes Across America is an audio series that gives you a closer look at the projects and the people who are improving health care quality and outcomes. These brief conversations include detailed…… Continue reading CMS QI Voices: Improving COVID-19 Outcomes in Nursing Homes Across America
Home Health, Hospice & DME Open Door Forum – January 11, 2023
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The next Home Health, Hospice & DME Open Door Forum is scheduled for: Wednesday, January 11, 2023 PM at 2:00 PM-3:00 PM Eastern Time (ET). Please call at least 15 minutes prior to the forum start time. **This Agenda is Subject to Change** Opening Remarks Chair…… Continue reading Home Health, Hospice & DME Open Door Forum – January 11, 2023
Direct Mailing Notification to Hospice Providers Regarding the Value-Based Insurance Design (VBID) Model, Hospice Benefit Component, Participating Medicare Advantage Organizations
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS posted a 90-page Transmittal 11776 – Change Request 13040 on January 5, 2023.
Home Health Prospective Payment System (HH PPS) Rate Update for CY 2023
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS issued Transmittal 11777 – Change Request 12957 on January 4, 2023. Also, a corresponding 3-page MLN Matters: Home Health Prospective Payment System: CY 2023 Update.
Home Oxygen: 3 New Claims Modifiers and Home Health Prospective Payment System: CY 2023 Rural Add-on Policy
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS added 3 new modifiers for home oxygen use under national coverage determination (NCD) 240.2 to indicate the appropriate treatment regimen and presence of supporting documentation for each Medicare patient group: Section B, Group I: modifier N1 Section B, Group II: modifier N2 Section D: modifier N3…… Continue reading Home Oxygen: 3 New Claims Modifiers and Home Health Prospective Payment System: CY 2023 Rural Add-on Policy
Skilled Nursing Facility Consolidated Billing: CY 2023 HCPCS Codes
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS has posted the CY 2023 HCPCS Codes for accurate payment of Part A skilled nursing facility stays. Additional information regarding these codes as well as billing information: General Explanation of the Major Categories for Skilled Nursing Facility (SNF) Consolidated Billing(includes additional exclusions) The SNF…… Continue reading Skilled Nursing Facility Consolidated Billing: CY 2023 HCPCS Codes
COVID-19 in Assisted Living: Protecting a Critical Long-Term Care Resource
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare “The COVID-19 pandemic had a big impact on assisted living (AL), a vital setting in long-term care (LTC). Understanding the strengths and opportunities for improvement through practice, policy, and research are essential for AL to be prepared for the next pandemic and other challenges. AL communities…… Continue reading COVID-19 in Assisted Living: Protecting a Critical Long-Term Care Resource
Draft MDS 3.0 Item Sets v1.18.11 Posted
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On December 23, 2022, CMS posted the draft Minimum Data Set (MDS) 3.0 Item Sets version v1.18.11. CMS plans to release the final version of the MDS Item Sets in early 2023. The MDS Item Sets v1.18.11 will be effective beginning October 1, 2023. This is…… Continue reading Draft MDS 3.0 Item Sets v1.18.11 Posted
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