Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare ezPBJ – the newest Briggs family member – posted guidance late last week based on the recent updating of the Five Star rating system used with Nursing Home Compare. QSO-19-08-NH – issued March 5, 2019 and effective April 24, 2019 – outlines what will change…… Continue reading CMS Moves the Goalposts for Five Star Ratings
Last Minute Notice from CMS – SNF/LTC Open Door Forum This Afternoon: April 23, 2019
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS just sent out this notification via email: This is the agenda and information posted just this morning, about 1 hour ago, on the SNF/LTC Open Door Forum website (I’ve highlighted and bolded the date, time and phone number as well as the Conference ID):…… Continue reading Last Minute Notice from CMS – SNF/LTC Open Door Forum This Afternoon: April 23, 2019
Change Request 11286
Sharon Hamilton MS, RN, NLCP-C, CFDS Clinical Consultant, Briggs Healthcare The Centers for Medicare & Medicaid Services has released updates to two important transmittals. Transmittal 312 for the Extended Repayment Schedules (ERS), and 313 that addresses Notice of New Interest Rate for Medicare Overpayments and Underpayments -3rd Qtr Notification for FY 2019 To learn more…… Continue reading Change Request 11286
Lawmakers Are Trying Again to Relax Home Health Certification Requirements.
Sharon Hamilton MS, RN, NLCP-C, CFDS Clinical Consultant – Briggs Healthcare April 9, 2019, a bipartisan group of legislators introduced a bill in the House of Representatives to amend title XVIII of the Social Security Act. H.R.2150, the Home Health Care Planning Improvement Act of 2019, would extend certification authority to nurse practitioners, physician assistants,…… Continue reading Lawmakers Are Trying Again to Relax Home Health Certification Requirements.
CMS Updated PDPM FAQ Document – Again – Last Week
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® In addition to April 4, 2019 updates, CMS updated the FAQ document again last Thursday, on April 11, 2019. 12 Questions/Answers were updated in this latest version. Those updates are shown in strike-outs and red font such as these 2 examples: If you haven’t already,…… Continue reading CMS Updated PDPM FAQ Document – Again – Last Week
MDS 3.0 Version 1.17.1 Final Item Sets Posted
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® CMS posted the FINAL MDS 3.0 Item Sets on Wednesday, April 10, 2019, at least according to the titling of the .zip file. There is no additional documentation provided with the posting as CMS normally does – just the .zip file itself. Once on this…… Continue reading MDS 3.0 Version 1.17.1 Final Item Sets Posted
REVIEW CHOICE DEMONSTRATION – Your agency still has time to choose!
Sharon Hamilton MS, RN, NLCPC, CFDS Clinical Consultant – Briggs Healthcare CMS is implementing a five-year Review Choice Demonstration (RCD) for Home Health Services in the states of Illinois, Ohio, Texas, North Carolina, and Florida beginning in 2019. The choice selection period for Home Health Agencies (HHAs) located in Illinois will begin on April 17, 2019 and…… Continue reading REVIEW CHOICE DEMONSTRATION – Your agency still has time to choose!
PDPM Materials Updated April 4, 2019
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® CMS posted updated Patient Driven Payment Model documents the evening of Thursday, April 4th. Those documents are: PDPM FAQs (new/updated items identified in red font) PDPM Classification Walkthrough PDPM Grouper Logic (SAS) PDPM ICD-10 Mappings The Fact Sheets remain unchanged from the February 14th update…… Continue reading PDPM Materials Updated April 4, 2019
SNF Value-Based Purchasing (VBP) Program FAQs
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® CMS was very busy late last week. In addition to errata updates to the DRAFT MDS 3.0 Item Set and PDPM documents being updated, the SNF VBP Frequently Asked Questions document was updated. The 7-page document contains these items:
Errata for DRAFT MDS 3.0 Item Set Version 1.17 Posted
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® CMS posted this statement on April 5, 2019: “An errata (V3.00.1) was posted for the DRAFT version (v3.00.1) of the MDS 3.0 Data Specifications, which will go into effect on October 1, 2019. Twenty-one issues were identified. One new item (X0570A) was added. Five existing…… Continue reading Errata for DRAFT MDS 3.0 Item Set Version 1.17 Posted
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