Correction to Period Sequence Edits on Home Health Claims

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On March 16, 2021, CMS issued Transmittal 10596/Change Request 12085.  This Change Request revises Common Working File home health period sequence edits to no longer exclude low utilization payment adjustment claims. EFFECTIVE DATE: January 1, 2020 – Claim “From” dates on or after this date. *Unless…… Continue reading Correction to Period Sequence Edits on Home Health Claims

QSO-20-28-NH: Access to Ombudsman Updated

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare QSO-20-28-NH … Nursing Home Five Star Quality Rating System updates, Nursing Home Staff Counts, Frequently Asked Questions, and Access to Ombudsman (REVISED) was updated March 10, 2021. That update was posted the same day as the QSO-20-39-NH … Nursing Home Visitation memorandum. Note that this update…… Continue reading QSO-20-28-NH: Access to Ombudsman Updated

Care for Our Seniors Act – AHCA and LeadingAge Legislative Proposal

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare AHCA and LeadingAge have collaborated on this legislative proposal with a subtitle of Improving America’s Nursing Homes By Learning From Tragedy & Implementing Bold Solutions For The Future.  “The COVID-19 pandemic has exposed and exacerbated long-standing challenges impacting the long term care (LTC) profession. The American…… Continue reading Care for Our Seniors Act – AHCA and LeadingAge Legislative Proposal

Maggots, Rape and Yet Five Stars: How U.S. Ratings of Nursing Homes Mislead the Public

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare I hesitated about 24 hours on whether to share this New York Times article with this title posted March 13, 2021 then decided that we all needed to see this – to be aware of what’s “out there.”  Sit down with a cup of coffee and…… Continue reading Maggots, Rape and Yet Five Stars: How U.S. Ratings of Nursing Homes Mislead the Public

REGISTRATION OPEN – SNF QRP: Achieving a Full APU Webinar

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The purpose of the webinar is to educate providers as to the Annual Payment Update (APU) process to achieve full APU. This webinar will cover the relationship between the APU and the Skilled Nursing Facility Quality Reporting Program, associated data submission requirements, and the reconsideration process…… Continue reading REGISTRATION OPEN – SNF QRP: Achieving a Full APU Webinar

CMS Use of Data on Nursing Home Staffing: Progress and Opportunities to Do More (OIG Report)

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare “The Centers for Medicare and Medicaid Services (CMS) has taken important steps to build a new source for data on nursing home staffing and to use these data to better inform consumers and improve nursing home oversight. CMS provides the public with some of this staffing…… Continue reading CMS Use of Data on Nursing Home Staffing: Progress and Opportunities to Do More (OIG Report)

High Staff Turnover at U.S. Nursing Homes Poses Risks for Residents’ Care

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare That’s the title of a New York Times piece initially posted March 1, 2021 and updated on March 5, 2021.  For veterans of the nursing home industry (that includes me), this is not “new” news, but it does bear far deeper consideration, especially during the past…… Continue reading High Staff Turnover at U.S. Nursing Homes Poses Risks for Residents’ Care

OIG Report: Florida NFs and Abuse Reports

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare OIG Report: A-04-17-08058 was posted March 4, 2021.  The full title of this report is Florida Did Not Ensure That Nursing Facilities Always Reported Allegations of Potential Abuse or Neglect of Medicaid Beneficiaries and Did Not Always Assess, Prioritize, or Investigate Reported Incidents. The report found…… Continue reading OIG Report: Florida NFs and Abuse Reports

Long Term Care Administrator’s Week: March 8 -12, 2021

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare “During this week, staff, residents, families, and volunteers have the opportunity to say “thank you” and honor the administrators who lead our nation’s long-term care communities. This year LTC Administrator’s Week takes on added significance due to the COVID-19 pandemic. Our nation’s Long Term Care leaders…… Continue reading Long Term Care Administrator’s Week: March 8 -12, 2021