Discharge from Inpatient Facilities to Home-Based Settings for Medicaid Participants: Public Comment Framing Document

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Lewin team, on behalf of the Centers for Medicare & Medicaid Services (CMS), seeks stakeholder comments on the following concept under development: TITLE: Discharge from Inpatient Facilities to Home for Medicaid Participants DESCRIPTION: This concept assesses the percentage of discharges of Medicaid participants 18 years…… Continue reading Discharge from Inpatient Facilities to Home-Based Settings for Medicaid Participants: Public Comment Framing Document

IA Department of Health and Human Services: Public Health Emergency Unwind

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The National Public Health Emergency (PHE) ended on May 11, 2023. This means that Iowa Medicaid will begin returning to pre-PHE operations and roll back some of the flexibilities allowed during the PHE.  The Iowa Medicaid team has put together a chart of the various different…… Continue reading IA Department of Health and Human Services: Public Health Emergency Unwind

July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare May 26, 2023 … July 2023 Quarterly Update to Healthcare Common Procedure Coding System Codes Used for SNF Consolidated Billing was posted with this notification: Transmittal 12052 issued May 18, 2023, is being rescinded and replaced by Transmittal 12062, dated May 26, 2023 to correct the…… Continue reading July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

 SNF Virtual Training Program – MDS 3.0 v1.18.11 Available

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has uploaded Parts 1 & 2 of the SNF Virtual Training Program for the MDS 3.0 v1.18.11. This presentation describes the framework of the Skilled Nursing Facility MDS 3.0 RAI v1.18.11 Guidance Training Program (Parts 1 and 2). Instructions for completing the recorded sessions and…… Continue reading  SNF Virtual Training Program – MDS 3.0 v1.18.11 Available

Iowa Medicaid Providers: Public Health Emergency (PHE) Unwind Training for Providers

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare INFORMATIONAL LETTER NO. 2450-MC-FFS DATE: May 22, 2023 TO: All Iowa Medicaid Providers APPLIES TO: Managed Care (MC), Fee-for-Service (FFS) FROM: Iowa Department of Health and Human Services (HHS), Iowa Medicaid RE: Public Health Emergency (PHE) Unwind Training for Providers EFFECTIVE: Upon Receipt Iowa Medicaid will…… Continue reading Iowa Medicaid Providers: Public Health Emergency (PHE) Unwind Training for Providers

Appendix B – RAI Manual: May 2023 Update

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On Wednesday, May 24, 2023, CMS posted the May Update of Appendix B to the RAI 3.0 User’s Manual to convey the changes to the list of State RAI Coordinators, MDS Automation Coordinators, RAI Panel members, and CMS locations and contacts. The following are those Changes to…… Continue reading Appendix B – RAI Manual: May 2023 Update

American Geriatrics Society 2023 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The American Geriatrics Society (AGS) Beers Criteria® (AGS Beers Criteria®) for Potentially Inappropriate Medication (PIM) Use in Older Adults is widely used by clinicians, educators, researchers, healthcare administrators, and regulators. Since 2011, the AGS has been the steward of the criteria and has pro-duced updates on…… Continue reading American Geriatrics Society 2023 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults

Latest CDC, CMS and NHSN Nursing Home COVID-19 Data

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has posted the nursing home COVID-19 data for the week ending May 7, 2023. Comparing the May 7, 2023 data to the April 30, 2023 data shows these changes: Resident primary vaccination completion rate decreased 0.2% this past week; Residents up to date with vaccines…… Continue reading Latest CDC, CMS and NHSN Nursing Home COVID-19 Data

Frequently Asked Questions: CMS Waivers, Flexibilities, and the End of the COVID-19 PHE … Updated May 19, 2023

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On May 19, 2023, CMS posted an updated FAQ: CMS Waivers, Flexibilities, and the End of the COVID-19 Public Health Emergency document. There are 19 pages of FAQs, answering 43 questions.  No red ink on this document to show what’s different from the previous FAQ.  Because…… Continue reading Frequently Asked Questions: CMS Waivers, Flexibilities, and the End of the COVID-19 PHE … Updated May 19, 2023