Resource Guide for Using Diagnosis Codes in Health Insurance Claims to Help Identify Unreported Abuse or Neglect

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Office of Inspector General (OIG) has posted a guide that “explains our approach to using claims data to identify incidents of potential abuse or neglect of vulnerable populations. The guide synthesized the methodologies that OIG developed in our extensive work on identifying unreported critical…… Continue reading Resource Guide for Using Diagnosis Codes in Health Insurance Claims to Help Identify Unreported Abuse or Neglect

Providers beware, don’t let your claims be rejected!

Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare TRANSITION TO NEW MEDICARE NUMBERS AND CARDS ICN 909365 December 2018 Why is CMS issuing new Medicare cards and new Medicare numbers? The law requires the Centers for Medicare & Medicaid Services (CMS) to remove Social Security Numbers (SSNs) from all Medicare cards by April 2019.…… Continue reading Providers beware, don’t let your claims be rejected!

Dementia Care: Supporting Comfort and Resident Preferences Call

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS, through MLN, is conducting a 90-minute national call on September 10, 2019 for nursing home providers, surveyors, prescribers, professional associations and other interested stakeholders with “insight on approaches to care for residents living with dementia that focus on resident preferences, maintaining comfort, and assisting…… Continue reading Dementia Care: Supporting Comfort and Resident Preferences Call

BREAKING NEWS: CMS Proposed and Final Rules Announced for LTC

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Yesterday, July 16, 2019, CMS provided notification of 2 rules that will impact LTC facilities: one final and one proposed.  Let’s look at the proposed rule first – CMS-3347-P: Medicare and Medicaid Programs; Requirements for Long-Term Care Facilities: Regulatory Provisions to Promote Efficiency, and Transparency.…… Continue reading BREAKING NEWS: CMS Proposed and Final Rules Announced for LTC

NAHC remains very concerned over significant “behavioral adjustment” in the proposed home health rule issued on July 11, 2019. See statement below from NAHC’s President William A. Dombi.

Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare “Statement of NAHC President William A. Dombi Regarding the Medicare Home Health Proposed Rule Issued Today”                                                             July 11, 2019 CMS late today issued the proposed rule for the 2020 payment model, PDGM, including rates of payment that would start January 1, 2020. The new payment…… Continue reading NAHC remains very concerned over significant “behavioral adjustment” in the proposed home health rule issued on July 11, 2019. See statement below from NAHC’s President William A. Dombi.

“Trump Administration Announces Steps to Strengthen Medicare with New Home Infusion Therapy Benefit and New Regulations that Put Patients Over Paperwork” What might this mean for home health agencies in the future?

Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare Today, the Centers for Medicare & Medicaid Services (CMS) proposed significant changes to the Home Health Prospective Payment System (Home Health PPS) that keep the unique needs of patients first, with proposals to implement a new home infusion benefit for beneficiaries, increasing home-based care. This proposed…… Continue reading “Trump Administration Announces Steps to Strengthen Medicare with New Home Infusion Therapy Benefit and New Regulations that Put Patients Over Paperwork” What might this mean for home health agencies in the future?

“HHS To Transform Care Delivery for Patients with Chronic Kidney Disease” What might this mean for home care in the future?

Sharon Hamilton MS, RN, CFDS Clinical Consultant, Briggs Healthcare This article, published below by CMS refers to home dialysis six times and payment adjustments aim at transforming kidney care so that patients with chronic kidney disease have access to high quality, coordinated care. This is an initiative worth watching. Today, delivering on President Trump’s Advancing…… Continue reading “HHS To Transform Care Delivery for Patients with Chronic Kidney Disease” What might this mean for home care in the future?