Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) will be based on the standard number of quarters. The July 2023 refresh will add a new claims-based measure for public reporting: Potentially Preventable Hospitalizations (PPH) Due to the COVID-19 reporting exceptions, the claims-based…… Continue reading Home Health Preview Reports and Star Rating Preview Reports for the July 2023 Refresh
CMS’ New Schizophrenia MDS Audits – What You Need to Know NOW
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare If you missed this webinar yesterday, you missed an excellent one – loaded with tons of helpful information about the recent CMS audits! It’s available for on-demand viewing here. You’ll be able to access the handout as well after you register but be sure to view/listen…… Continue reading CMS’ New Schizophrenia MDS Audits – What You Need to Know NOW
FY 2024 DRAFT PDPM ICD-10 Mapping and FY 2024 PDPM Case-Mix Adjusted Federal Rates and Associated Indexes
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Along with the posting of the FY2024 SNF PPS Proposed Rule, the FY2024 DRAFT PDPM ICD-10 Mapping is available. Once you access the .zip file, it opens to reveal: Also available are the FY2024 PDPM Case-Mix Adjusted Federal Rates and Associated Indexes: Here’s what you’ll see…… Continue reading FY 2024 DRAFT PDPM ICD-10 Mapping and FY 2024 PDPM Case-Mix Adjusted Federal Rates and Associated Indexes
FY2024 Inpatient Rehabilitation Facility Prospective Payment System Proposed Rule (CMS-1781-P)
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On April 3, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update Medicare payment policies and rates under the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and the IRF Quality Reporting Program (QRP) for fiscal year (FY) 2024. CMS…… Continue reading FY2024 Inpatient Rehabilitation Facility Prospective Payment System Proposed Rule (CMS-1781-P)
What to Expect with the Minimum Data Set (MDS) Transition to iQIES on April 17, 2023 and Sample iQIES MDS 3.0 Reports
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On April 17, 2023, the Centers for Medicare & Medicaid Services (CMS) will transition to the Internet Quality Improvement and Evaluation System (iQIES) for Minimum Data Set (MDS) record submissions and reports. As part of this transition, the QIES Assessment Submission And Processing (ASAP) system for MDS…… Continue reading What to Expect with the Minimum Data Set (MDS) Transition to iQIES on April 17, 2023 and Sample iQIES MDS 3.0 Reports
Fiscal Year 2024 Medicare Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) and Quality Reporting (IPFQR) Updates Proposed Rule (CMS-1783-P)
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On April 4, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update Medicare payment policies and rates for the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year (FY) 2024. CMS is publishing this proposed rule consistent with…… Continue reading Fiscal Year 2024 Medicare Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) and Quality Reporting (IPFQR) Updates Proposed Rule (CMS-1783-P)
FY2024 Hospice Payment Rate Update Proposed Rule (CMS-1787-P)
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On March 31, 2023, CMS posted FY2024 Hospice Payment Rate Update Proposed Rule Fact Sheet. On March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1787-P) that would update Medicare hospice payments and the aggregate cap amount for fiscal year…… Continue reading FY2024 Hospice Payment Rate Update Proposed Rule (CMS-1787-P)
Fiscal Year (FY) 2024 SNF PPS Proposed Rule (CMS 1779-P)
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare It’s a big week for CMS postings and lots of reading materials. CMS posted this FY2024 SNF PPS Proposed Rule Fact Sheet on April 4, 2024. On April 4, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare…… Continue reading Fiscal Year (FY) 2024 SNF PPS Proposed Rule (CMS 1779-P)
Unwinding from the PHE – Navigation Resources
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The COVID-19 Public Health Emergency is set to end on May 11, 2023. Guidances and directives are ramping up for providers to this end, just as they did initially when the PHE was declared on January 31, 2020 and continued for the next 3 years. This…… Continue reading Unwinding from the PHE – Navigation Resources
Iowa SNF/LTC Providers: Medicaid Case Mix – October 1, 2023
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Iowa Medicaid posted Optional State Assessment And Patient-Driven Payment Model For Case Mixtoday (Monday, April 3, 2023). As noted in Informational Letter (IL) 2052-MC-FFS1 , the Centers for Medicare and Medicaid Services (CMS) implemented the PDPM effective October 1, 2019. All scheduled prospective payment system (PPS)…… Continue reading Iowa SNF/LTC Providers: Medicaid Case Mix – October 1, 2023
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