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
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:
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
Sharon Hamilton, MS, RN, NLCPC, CFDS Clinical Consultant – Briggs Healthcare Starting January 1, 2020 home health agencies will have to be ready for the start of the Patient Driven Groupings Model (PDGM) payment system and for the latest OASIS update. CMS announced in the April 3rd Open Door Call that OASIS-D1 will be implemented on…… Continue reading Year 2020 will be a year to remember!
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® On or about Friday, April 5, 2019, you’ll be able to download your PEPPER report. You’ll see this notification on that website: Beneath the grid, you’ll find links on accessing a video as well as a step-by-step guide to download your PEPPER report either through…… Continue reading SNFs: Watch for Release of Your Annual PEPPER Report on April 5, 2019
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® On March 22, 2019, CMS issued a set of guidance responses associated with the January 2014 home and community-based settings final rule in the form of an 11-page FAQ document. The cover letter is addressed to State Medicaid Directors. Here are 3 key points excerpted…… Continue reading Home and Community-Based Settings Regulation – Heightened Scrutiny Guidance
Sharon Hamilton, MS, RN, NLCPC, CFDS Clinical Consultant – Briggs Healthcare The Medicare home infusion therapy services temporary transitional payment is for coverage of home infusion therapy services needed for the safe and effective administration of certain drugs and biologicals administered intravenously or subcutaneously through an external infusion pump that is an item of Durable Medical Equipment…… Continue reading What is the Home Infusion Therapy Services Temporary Transitional Payment?
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® The Centers for Medicare & Medicaid Services (CMS) will be hosting a 2-day Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) in-person ‘Train the Trainer’ event for providers on May 7 and 8, 2019, at the Sheraton Kansas City Hotel at Crown Center, 2345 McGee Street,…… Continue reading SNF QRP Provider In-Person Training Event – Registration Open
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare® On March 14th, CMS posted updates to LTC survey materials. CMS added these documents to the Survey Resource .zip file: The above chart is taken from the updated Revision History for LTC Survey Process Documents and Files document.
Sharon Hamilton, MS, RN, NLCPC, CFDS Clinical Consultant – Briggs Healthcare Subject: Manual Updates Related to Home Health Certification and Recertification Policy Changes Transmittal 870 and Transmittal 258 Transmittal 870 summary of changes: This Change Request (CR) updates the Medicare Benefit Policy Manual, (Pub. 100-02), Chapter 7 and the Medicare Program Integrity Manual (Pub. 100-08), Chapter 6,…… Continue reading 3-22-2019 CMS released two transmittals for Home Health change Request (CR) 11104. Implementation date for both are April 22, 2019