Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) initial claims that are processed out of sequence are not paying the correct Variable Per Diem (VPD)-adjusted rate. Also, all adjustment claims are not processing correctly. Claims need to process in date of service order for…… Continue reading SNF PDPM Claims Issue
Texas home health agencies may begin submitting Pre-Claim Review requests on March 2, 2020.
Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare The start of Review Choice Demonstration is right around the corner. Unfortunately, there has been some confusion about the process for submitting the PCR requests and the Unique Tracking Number (UTN) assigned to each PCR decision. To help providers, Palmetto GBA posted an article explaining the…… Continue reading Texas home health agencies may begin submitting Pre-Claim Review requests on March 2, 2020.
The CMS plans to enhance oversight of accrediting organizations
Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare Seema Verma speaking to a Quality Conference in Baltimore told an audience of accreditors they are failing to protect patients from harm. Verma further stated the business practice of acting as both an accreditor and consultant is “a glaring conflict of interest.” The Office of Management…… Continue reading The CMS plans to enhance oversight of accrediting organizations
If your Texas home health agency is participating in Review Choice Demonstration, you need to know the following…
Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare Contrary to Question #7 in the Review Choice Demonstration (RCD) for Home Health (HH) Services Frequently Asked Questions (FAQ) (updated 01/06/20), RCD is applicable to billing periods not episode of care! RCD is scheduled to start in Texas on March 2, 2020. Agencies will need to…… Continue reading If your Texas home health agency is participating in Review Choice Demonstration, you need to know the following…
Home Health – CMS Revisions to the State Operations Manual (SOM)
Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare Revisions to the State Operations Manual (SOM) Appendix A – Hospitals, Appendix AA – Psychiatric Hospitals, Appendix B – Home Health Agency, Appendix D – Portable X-Ray, Appendix G – Rural Health Clinics/Federally Qualified Health Centers, Appendix H- End Stage Renal Disease Facilities (ESRD), Appendix K…… Continue reading Home Health – CMS Revisions to the State Operations Manual (SOM)
Public Health News Alert: CMS Develops New Code for Coronavirus Lab Test
Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare Healthcare providers who need to test patients for Coronavirus using the Centers for Disease Control and Prevention (CDC) 2019 Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel may bill for that test using the newly created HCPCS code (U0001). The Medicare claims processing system will be…… Continue reading Public Health News Alert: CMS Develops New Code for Coronavirus Lab Test
CMS Posts Updates to State Operations Manual (SOM) Appendices
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Just this morning, CMS posted several updates to Appendices contained within the SOM. Here’s the 1st page of that 696-page posting: For those of you watching, CMS has not posted an updated Appendix PP. That is anticipated in 2nd quarter of this year.
CASPER Guides for PBJ Reports Updated
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS updated both the CASPER Reporting User’s Guide for PBJ Providers and MDS Providers this week. When you open this hyperlink, this is what you’ll see: Click on the MDS Providers field (or + sign) to see these contents: The cover has been updated because…… Continue reading CASPER Guides for PBJ Reports Updated
20/20 Vision: What’s in Store for PDPM, RoPs, and the MDS On-Demand Webinar Available
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Did you miss this webinar? Want to hear it again? Have a friend that would like to hear it? You’re in luck. The on-demand webinar, along with the handouts is now available! Once on this website, scroll down to View Recording. Register to access the…… Continue reading 20/20 Vision: What’s in Store for PDPM, RoPs, and the MDS On-Demand Webinar Available
Updated PBJ FAQ Document
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare An updated version (January 2020) of the General User, Registration and Submission FAQ is now available. The 9-page FAQ includes information for new PBJ Users, answers to common data specification and submission questions as well as helpful links to find more detailed information. Information for…… Continue reading Updated PBJ FAQ Document
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