Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On May 11, 2023, the federal Public Health Emergency (PHE) for COVID-19 expired. Some Medicaid services, such as telehealth flexibilities, will not be affected and have been extended through December 31, 2024, as indicated in The Consolidated Appropriations Act of 2023. There are certain Medicare and…… Continue reading Transition Forward: Updated Medicaid Unwinding Resources Now Available
July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for SNF Consolidated Billing Enforcement
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The purpose of this Change Request (CR) – 12052 is to provide updates to the lists of HCPCS codes that are subject to the consolidated billing provision of the SNF Prospective Payment System (PPS). Changes to Current Procedural Terminology/Healthcare Common Procedure Coding System (CPT/HCPCS) codes and…… Continue reading July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for SNF Consolidated Billing Enforcement
Updated CASPER MDS Census Reports for Nursing Homes
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The 1704D Daily MDS Census Detail and 1704S Daily MDS Census Summary reports in the Payroll-Based Journal (PBJ) report category in the CASPER Reporting application have been updated to reflect all MDS records that have been accepted into the Internet Quality Improvement and Evaluation System (iQIES)…… Continue reading Updated CASPER MDS Census Reports for Nursing Homes
What You Should Know About COVID-19 and the ADA, the Rehabilitation Act and Other EEO Laws
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare This updated May 15, 2023 EEOC document is a reminder that while the PHE declaration has expired, we still need to be mindful and compliant with employment laws. It’s also a good reminder that our people – staff and residents – are the most important part…… Continue reading What You Should Know About COVID-19 and the ADA, the Rehabilitation Act and Other EEO Laws
HHS Secretary Xavier Becerra Statement on End of the COVID-19 PHE
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare May 11, 2023, U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra released the following statement on the end of the COVID-19 Public Health Emergency (PHE): “Thanks to the Biden-Harris Administration’s whole-of-government approach to combatting COVID-19, our country is in a better place than…… Continue reading HHS Secretary Xavier Becerra Statement on End of the COVID-19 PHE
Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review Clarified
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On May 15, 2023, CMS issued Transmittal 12037 with this message (in red ink): Transmittal 12032 issued May 10, 2023, is being rescinded and replaced by Transmittal 12037, dated May 15, 2023, to make a minor clarification (that claims will be adjusted/denied if an improper payment…… Continue reading Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review Clarified
REGISTRATION OPEN: SNF MDS 3.0 RAI v1.18.11 Guidance Training Program
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Centers for Medicare & Medicaid Services (CMS) is offering a virtual training program that provides instruction on the updated guidance for the Skilled Nursing Facility (SNF) Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) v1.18.11 Manual and Item Set. This training is part of…… Continue reading REGISTRATION OPEN: SNF MDS 3.0 RAI v1.18.11 Guidance Training Program
OIG: Nursing Home Facility-Initiated Discharges: A Data Brief
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare A facility-initiated transfer or discharge of a resident from a nursing home can be an unsafe and traumatic experience for the resident and the resident’s family. To address these concerns, Congress passed the Nursing Home Reform Act of 1987 to protect residents against inappropriate, facility-initiated transfers…… Continue reading OIG: Nursing Home Facility-Initiated Discharges: A Data Brief
Certification and Survey Provider Enhanced Reports (CASPER) Daily Minimum Data Set (MDS) Census Reports for Nursing Homes
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The 1704D Daily MDS Census Detail and 1704S Daily MDS Census Summary reports in the Payroll-Based Journal (PBJ) report category in the CASPER Reporting application are only considering those MDS records that were accepted in the Quality Improvement and Evaluation System (QIES) Assessment And Submission Processing…… Continue reading Certification and Survey Provider Enhanced Reports (CASPER) Daily Minimum Data Set (MDS) Census Reports for Nursing Homes
SNF VBP Program Webinar: FY 2024 SNF PPS Proposed Rule Overview – May 24, 2023: 2pm ET
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On April 10, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2024. In addition, the…… Continue reading SNF VBP Program Webinar: FY 2024 SNF PPS Proposed Rule Overview – May 24, 2023: 2pm ET
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