FY 2024 SNF VBP Program June 2023 Quarterly Reports are Now Available

Posted in INDUSTRY NEWS, Long-Term Care

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The June 2023 Quarterly Confidential Feedback Reports for the fiscal year (FY) 2024 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program are now available to download via the Internet Quality Improvement and Evaluation System (iQIES). These reports contain facility and stay-level data for the SNF 30-Day…… Continue reading FY 2024 SNF VBP Program June 2023 Quarterly Reports are Now Available

Medicare Paid Millions More for Physician Services at Higher Non-Facility Rates Rather Than at Lower Facility Rates While Enrollees Were Inpatients of Facilities

Posted in INDUSTRY NEWS, Long-Term Care

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The OIG posted the results of this physician services audit – same title as this blog – on May 30, 2023. The 32-page complete report is found here. The Report in Brief is found here. Medicare pays practitioners for physician services separately from the payments it…… Continue reading Medicare Paid Millions More for Physician Services at Higher Non-Facility Rates Rather Than at Lower Facility Rates While Enrollees Were Inpatients of Facilities

CMS Policy and Regulatory Changes to the Omnibus COVID-19 Health Care Staff Vaccination Requirements

Posted in COVID-19, Senior Living

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Late afternoon on Wednesday, May 31, 2023, CMS filed Final Rule 2023-11449 to be published in the Federal Register on Monday, June 5, 2023.   The official title is Medicare and Medicaid Programs; Policy and Regulatory Changes to the Omnibus COVID-19 Health Care Staff Vaccination Requirements; Additional…… Continue reading CMS Policy and Regulatory Changes to the Omnibus COVID-19 Health Care Staff Vaccination Requirements

Five-Star State Level Cut Point Table Updated May 2023

Posted in INDUSTRY NEWS, Long-Term Care

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has posted the Five-Star State Level Cut Point Table for May 2023. The Centers for Medicare & Medicaid Services (CMS) has enhanced its Nursing Home Compare public reporting site to include a set of quality ratings for each nursing home that participates in Medicare or…… Continue reading Five-Star State Level Cut Point Table Updated May 2023

UPDATED RESOURCE AVAILABLE: Introduction to the Hospice Quality Reporting Program (HQRP) Web-Based Training

Posted in Hospice, INDUSTRY NEWS

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Introduction to the HQRP Web-Based Training is a two-part training series for Hospice providers. Course 1: Getting Started with the HQRP and Public Reporting Provides a general overview of the HQRP and reviews the program’s use of three data sources: The Hospice Item Set (HIS),…… Continue reading UPDATED RESOURCE AVAILABLE: Introduction to the Hospice Quality Reporting Program (HQRP) Web-Based Training

UPDATED RESOURCE AVAILABLE: Introduction to the Hospice Quality Reporting Program (HQRP) Web-Based Training

Posted in COVID-19, Senior Living

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Below is important information regarding Long-term care facilities (LTCF) and reporting COVID-19 data to NHSN once the Public Health Emergency has ended. Long-term care facilities that are CMS certified will still need to report to the LTCF COVID-19 Module Surveillance Pathways (Resident Impact and Facility Capacity,…… Continue reading UPDATED RESOURCE AVAILABLE: Introduction to the Hospice Quality Reporting Program (HQRP) Web-Based Training

Discharge from Inpatient Facilities to Home-Based Settings for Medicaid Participants: Public Comment Framing Document

Posted in Assisted Living, INDUSTRY NEWS

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Lewin team, on behalf of the Centers for Medicare & Medicaid Services (CMS), seeks stakeholder comments on the following concept under development: TITLE: Discharge from Inpatient Facilities to Home for Medicaid Participants DESCRIPTION: This concept assesses the percentage of discharges of Medicaid participants 18 years…… Continue reading Discharge from Inpatient Facilities to Home-Based Settings for Medicaid Participants: Public Comment Framing Document

IA Department of Health and Human Services: Public Health Emergency Unwind

Posted in COVID-19, Senior Living

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The National Public Health Emergency (PHE) ended on May 11, 2023. This means that Iowa Medicaid will begin returning to pre-PHE operations and roll back some of the flexibilities allowed during the PHE.  The Iowa Medicaid team has put together a chart of the various different…… Continue reading IA Department of Health and Human Services: Public Health Emergency Unwind

July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

Posted in INDUSTRY NEWS, Long-Term Care

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare May 26, 2023 … July 2023 Quarterly Update to Healthcare Common Procedure Coding System Codes Used for SNF Consolidated Billing was posted with this notification: Transmittal 12052 issued May 18, 2023, is being rescinded and replaced by Transmittal 12062, dated May 26, 2023 to correct the…… Continue reading July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement