Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare When a Medicare health plan, either directly or by delegation, terminates pre-authorized coverage of services from a Home Health Agency (HHA) a special expedited review procedure applies. Expedited review requests filed timely bypass the health plan’s reconsideration process, and an independent review entity known as a…… Continue reading Effective June 8, 2019, Centers for Medicare & Medicaid Services (CMS) restructured the BFCC-QIO coverage.
Early Release of October 2019 RAI User’s Manual Just Posted by CMS
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS posted this notification initially the evening of Saturday, May 18th and again this forenoon: “The PDF file labeled “MDS 3.0 RAI Manual v1.17 October 1, 2019” is now available in the Related Links section below. Please note this early release is being provided in…… Continue reading Early Release of October 2019 RAI User’s Manual Just Posted by CMS
Historical Agreement Expected to Become Law: Minnesota Assisted Living Facilities to be Licensed
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare A bill in the Minnesota legislature is being finalized to license Assisted living facilities for the very first time. This agreement, which is expected to pass, will bring Minnesota in line with the rest of the country in terms of regulating AL. ALFs have been…… Continue reading Historical Agreement Expected to Become Law: Minnesota Assisted Living Facilities to be Licensed
CDC Releases TB guidelines 5/17/19
Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare What is already known about this topic? Since 1991, U.S. tuberculosis (TB) rates have declined, including among health care personnel (HCP). Serial TB testing has limitations in populations at low risk. What is added by this report? A systematic review found a low percentage of HCP…… Continue reading CDC Releases TB guidelines 5/17/19
July 1, 2019 your agency will need to use the renewed HHCCN
Sharon Hamilton MS, RN, CFDS Clinical Consultant – Briggs Healthcare The Office of Management and Budget (OMB) has approved the Home Health Change of Care (HHCCN) Form, CMS-10280. Effective July 1, 2019, all Home Health Agencies (HHA) will be required to use the renewed form with the expiration date of 4/30/2022 on the bottom. Please…… Continue reading July 1, 2019 your agency will need to use the renewed HHCCN
Just in case you didn’t see the next Home Health, Hospice & DME Open Door announcement…
Sharon Hamilton MS, RN, CFDS Clinical Consultant – Briggs Healthcare The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, May 15, 2019 PM at 2:00-3:00 PM Eastern Time (ET). Please call at least 15 minutes prior to the forum start time. **This Agenda is Subject to Change** Opening Remarks Acting…… Continue reading Just in case you didn’t see the next Home Health, Hospice & DME Open Door announcement…
Medicaid Will No Longer Pay Home Health Workers Union Dues Overturning a 2014 Rule
Sharon Hamilton MS, RN, CFDS Clinical Consultant – Briggs Healthcare A final rule, scheduled to be published May 6, 2019, “removes the regulatory text that allows a state to make Medicaid payments to third parties on behalf of an individual provider for benefits such as health insurance, skills training, and other benefits customary for employees.”…… Continue reading Medicaid Will No Longer Pay Home Health Workers Union Dues Overturning a 2014 Rule
SNF QRP Provider Training Materials Posted
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Training materials for the upcoming 2-day Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Provider Training event on May 7, and Wednesday, May 8, at the Sheraton Kansas City Hotel at Crown Center, 2345 McGee Street, Kansas City, MO 64108, are now available under the…… Continue reading SNF QRP Provider Training Materials Posted
OIG Issues Trends in Nursing Home Deficiencies Report
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Office of Inspector General (OIG) just posted a data brief for its analysis of “nursing home deficiencies that were identified by State survey agencies (State agencies) across the Nation for calendar years 2013 through 2017 (review period). This data brief offers the Centers for…… Continue reading OIG Issues Trends in Nursing Home Deficiencies Report
SNF Provider Preview Reports Now Available
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS made this announcement on May 1, 2019: “Skilled Nursing Facility Provider Preview Reports have been updated and are now available. Providers have until May 30, 2019 to review their performance data prior to the July 2019 Nursing Home Compare site refresh, during which this…… Continue reading SNF Provider Preview Reports Now Available
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