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Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS posted the updated Quality Measures manual – version 12.1 – in early September 2019 then pulled it off the website a short time later.  The updated QM manual – still version 12.1 was posted again on October 8, 2019 in the form of a…… Continue reading MDS 3.0 QM User’s Manual Version 12.1 Now Available – Again

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS has been very busy the past week with all things PDPM!   Updates to Medicare claims and billing manuals were no exception.  All updates are effective and being implemented on November 5, 2019 (revised verbiage is identified by the red ink): Chapter 4 – Physician…… Continue reading CMS Releases Medicare Claims and Billing Manual Updates

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Today, October 7, 2019, CMS announced “a major enhancement of the information available to nursing home residents, families, and caregivers on the Agency’s Nursing Home Compare website”. Later this month, CMS will – for the first time – display a consumer alert icon next to…… Continue reading Trump Administration Enhances Transparency about Abuse and Neglect Five-Star Update

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS posted version 1.7.1 of jRAVEN  on October 7, 2019 – 2 weeks after posting version 1.7.0.   Version 1.7.1 is the version you should be using if your facility utilizes the CMS free software for encoding and transmitting the MDS 3.0. The Release Notes are…… Continue reading Updated Version Available for jRAVEN Users

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare “Transmittal 2299, dated May 3, 2019, is being rescinded and replaced by Transmittal 2366 dated, October 3, 2019, to add new business requirement 11152.11 and new HIPPS codes file attachment. All other information remains the same. This Change Request 11152/Transmittal 2366 will implement the Skilled…… Continue reading Implementation of the SNF Patient Driven Payment Model

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare As reported on Friday, October 4th, CMS has posted a  revision to the PDPM DLL Package to correct four bugs that were identified after the V1.0002 release (September 27, 2019).  The package contains updated test files and documentation.   This revision package will be installed by…… Continue reading CMS Posts a Revision to the PDPM DLL Package

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS issued the following statements late afternoon, Friday, October 4, 2019: CMS is aware of issues with the latest PDPM DLL Package (V1.0002 FINAL). We are targeting to release an updated version on Monday, October 7, 2019, which corrects the identified grouper discrepancies. SNF providers…… Continue reading SNF PDPM Assessments and Grouper Update

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare A lot of information/clarification regarding the use of the Optional State Assessment (OSA) has been provided this afternoon, ahead of the October 1st implementation of the MDS 3.0 v1.17.1 Item Set and the PDPM classification/reimbursement system.  Iowa has long used the RUG-III grouper to provide…… Continue reading IOWA LTC PROVIDERS: Information from the IA MDS Automation Coordinator re: State Case-Mix/OSA

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare A couple of days ago, I provided links to the individual August SNF QRP training videos.  CMS has also provided an all-in-one-place list of these training videos which is helpful to see all videos on 1 page and select the video you wish to view…… Continue reading August 2019 CMS SNF QRP Training Sessions – Additional Information Available