Guidance on Nursing Facility State Plan Payment and Upper Payment Limit Approaches in Medicaid Relying on the Medicare Patient-Driven Payment Model (SMD 22-005)

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare “As stated at the beginning of this letter, CMS will no longer support the Medicare RUGs systems after October 1, 2023. CMS is available to assist states as Medicare RUGs transition to PDPM. Initial readiness determinations should be made by the states in collaboration with their…… Continue reading Guidance on Nursing Facility State Plan Payment and Upper Payment Limit Approaches in Medicaid Relying on the Medicare Patient-Driven Payment Model (SMD 22-005)

jRAVEN v1.8.2 Released for October 1, 2022

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare jRAVEN (version 1.8.2) is now available for download which contains the following updates:   The new MDS VUT, v3.6.1, updated to support the ICD Codes for I0020B that are in effect as of 10/1/2022, as well as the remapping of GG Discharge items when a dash is…… Continue reading jRAVEN v1.8.2 Released for October 1, 2022

Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to LTC Facility Testing Requirements

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS issued a revised QSO-20-38-NH Memorandum on Friday, September 23, 2022. The first revision is found on page 3 of the 10-page Memorandum: Instruct facility staff, regardless of their vaccination status, to report any of the following criteria to occupational health or another point of contact…… Continue reading Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to LTC Facility Testing Requirements

Updated: Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The CDC posted these updates late Friday, September 23, 2022: This guidance applies to all U.S. settings where healthcare is delivered, including nursing homes and home health. Interim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2 was also updated on September 23,…… Continue reading Updated: Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic

CMS Rescinds December 7, 2020, Enforcement Discretion for the Use of SARSCoV-2 Tests on Asymptomatic Individuals Outside of the Test’s Instructions for Use

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Today, September 26, 2022, CMS issued QSO-22-25-CLIA – same title as this blog. CMS issues this (3-page) memorandum to rescind the enforcement discretion under CLIA related to the use of tests on asymptomatic individuals outside of the test’s instructions for use. As home testing is now…… Continue reading CMS Rescinds December 7, 2020, Enforcement Discretion for the Use of SARSCoV-2 Tests on Asymptomatic Individuals Outside of the Test’s Instructions for Use

SNF QRP APU Table for Reporting Assessment-Based QM and Standardized Patient Assessment Data Elements and Data Collection and Final Submission Deadlines Affecting FY 2025

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare An update to the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Annual Payment Update (APU) Table for Reporting Assessment-Based quality measures (QMs) and standardized patient assessment data elements to CMS is now available. This document has been updated to reflect the data elements that will…… Continue reading SNF QRP APU Table for Reporting Assessment-Based QM and Standardized Patient Assessment Data Elements and Data Collection and Final Submission Deadlines Affecting FY 2025

Five-Star Preview Reports Available September 26, 2022

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Five Star Preview Reports will be available on (Monday) September 26, 2022. 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…… Continue reading Five-Star Preview Reports Available September 26, 2022

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 webpage. If you want to receive Swingtech’s quarterly emails, then add or update the email…… Continue reading Important Updates on the Hospice Quality Reporting Program (HQRP)

Latest CMS, CDC and NHSN Nursing Home COVID-19 Data

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has posted the COVID-19 nursing home data for the week ending September 11, 2022. Comparing the September 11th data to the September 4th data shows these changes: Resident primary vaccination completion rate remained unchanged from previous week Residents with booster doses decreased 0.5% from previous week Staff primary…… Continue reading Latest CMS, CDC and NHSN Nursing Home COVID-19 Data