Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS posted QSO-23-19-Hospitals this morning (July 17, 2023). Medicare-certified hospitals have a regulatory obligation to care for patients in a safe setting under the Medicare Hospital Conditions of Participation at §482.13(c)(2). The intention of this requirement is to specify that each patient receives care in…… Continue reading Ligature Risk and Assessment in Hospitals
The Joint Commission, in Collaboration with the Alzheimer’s Association, Launches Memory Care Certification for Assisted Living Communities
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Tuesday, July 11, 2023. The Joint Commission, in collaboration with the Alzheimer’s Association, launched Memory Care Certification for Assisted Living Communities(ALCs) on July 1. The voluntary, specialty certification recognizes Joint Commission-accredited ALCs that meet its standards to support the delivery of high-quality care for residents diagnosed with…… Continue reading The Joint Commission, in Collaboration with the Alzheimer’s Association, Launches Memory Care Certification for Assisted Living Communities
Period of Enhanced Oversight for New Hospices in Arizona, California, Nevada, & Texas
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS is placing newly enrolling hospices located in Arizona, California, Nevada, and Texas in a provisional period of enhanced oversight. Over the last 12 months, we’ve received numerous reports of hospice fraud, waste, and abuse. The number of enrolled hospices has also increased significantly in these…… Continue reading Period of Enhanced Oversight for New Hospices in Arizona, California, Nevada, & Texas
SNF Provider Preview Reports Now Available
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the October 2023 refresh. The data contained within the Preview Reports are…… Continue reading SNF Provider Preview Reports Now Available
CMS Proposes Policy Changes for Quality Payment Program
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Centers for Medicare & Medicaid Services (CMS) has issued its proposed policies for the Quality Payment Program (QPP) via the Calendar Year (CY) 2024 Medicare Physician Fee Schedule (PFS) Proposed Rule, with proposals applicable to the 2024 performance year. These include proposals for the Merit-based Incentive Payment System (MIPS) and Advanced Alternative…… Continue reading CMS Proposes Policy Changes for Quality Payment Program
CMS Administrator Brooks-LaSure Letter to Payors Regarding Coverage of COVID-19 Vaccines Post Commercialization
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare July 13, 2023 … CMS Administrator Brooks-LaSure Letter to Payors Regarding Coverage of COVID-19 Vaccines Post Commercialization To Medicare Plans, Private Insurance Plans, and State Medicaid and CHIP Programs: Thank you for your continued efforts to address the effects of COVID-19, even after the end of…… Continue reading CMS Administrator Brooks-LaSure Letter to Payors Regarding Coverage of COVID-19 Vaccines Post Commercialization
The Joint Commission: Select Retired and Revised Accreditation Requirements
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare For those providers who have Joint Commission accreditation: Prepublication Standards – Effective August 27, 2023. Last year, The Joint Commission reviewed the hospital accreditation requirements that are above and beyond the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs) and reduced the requirements…… Continue reading The Joint Commission: Select Retired and Revised Accreditation Requirements
July is Healthy Vision Month
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Be part of Healthy Vision Month 2023. Eye disease and vision loss affect millions of Americans—including many older adults. As people get older, they’re at greater risk for common eye diseases and conditions, including age-related macular degeneration (AMD), cataracts, and glaucoma. Many eye diseases have no early symptoms. But the good news is that regular comprehensive dilated eye…… Continue reading July is Healthy Vision Month
New York State Medicaid Case Mix: No OSA – Transitioning to PDPM
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare DOH unveils intent to freeze case mix, aspiration to transition from RUGs to PDPM case mix methodology. In a meeting with LeadingAge NY and other associations earlier today (July 11th) on nursing home Medicaid issues, Department of Health (DOH) Bureau of Long Term Care Rate Setting…… Continue reading New York State Medicaid Case Mix: No OSA – Transitioning to PDPM
Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Quarter Notification for FY 2023
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Transmittal 12123 was posted July 11, 2023. Note the Effective/Implementation Date is July 17, 2023. I. GENERAL INFORMATION A. Background: Medicare Regulation 42 CFR section 405.378 provides for the assessment of interest at the higher of the current value of funds rate (one percent for calendar…… Continue reading Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Quarter Notification for FY 2023
BriggsNetNews 