Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare An Office of Inspector General report (February 2019) found that Medicare improperly paid for Skilled Nursing Facility (SNF) services when patients did not meet the 3-Day inpatient hospital stay requirement. Review the Skilled Nursing Facility 3-Day Rule Billing fact sheet to help you bill correctly. Additional…… Continue reading SNF 3-Day Rule: Bill Correctly

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Five Star Preview Reports will be available on June 18, 2021. To access these reports, select the CASPER Reporting link located on the CMS QIES Systems for Providers page. Once in the CASPER Reporting system, select the ‘Folders’ button, then select ‘My Inbox’ or the…… Continue reading Five-Star Preview Reports

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS posted the latest update to Appendix B of the RAI User’s Manual on Monday, June 21, 2021.   The June update (dated June 24, 2021) 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,…… Continue reading Appendix B – RAI User’s Manual – Updated

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has posted updated documents to the LTC Survey Process.  These documents are: List of Revised FTags [Effective 06/19/2021]LTC Survey Pathways – Updated 06/19/2021 (this is a .zip file)Survey Resources – Updated 06/19/2021 (also a .zip file)Revision History for LTC Survey Process Documents and Files Updated…… Continue reading CMS Updates LTC Survey Process Documents

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Transmittal 10 … June 11, 2021 updates Chapter 41, Skilled Nursing Facility and Skilled Nursing Facility Health Care Complex Cost Reports and Form CMS-2540-10 to clarify or revise the following: Worksheet S, Part I: Clarified lines 1 and 2 to read “Electronically prepared cost report” and…… Continue reading Medicare Provider Reimbursement Manual … Chapter 41 Updates – Skilled Nursing Facility and Skilled Nursing Facility Health Care Complex Cost Reports

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On June 2, 2021, the State of New York posted amended “regulations concerning the operating component of rates of Medicaid reimbursement for nursing homes.”  NY will use larger data sets within the case mix period to determine case mixes, for purposes of calculating rates for periods…… Continue reading New York State Adopts Case Mix Regulations

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The NHSN Long-term Care Facility Component supports the nation’s COVID-19 response through the LTCF COVID-19 Module. Facilities eligible to report data to NHSN’s COVID-19 Module include nursing homes/skilled nursing, long-term care for the developmentally disabled, and assisted living. In response to H.R. 7105 – Veterans Healthcare…… Continue reading State Veterans Homes COVID-19 Tool (NHSN)