Revisions to Appendix M – Hospice State Operations Manual (SOM)     

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On January 27, 2023, I blogged about the Revisions to Hospice-Appendix M of the State Operations Manual and the Hospice Basic Surveyor Training. Late in the afternoon of February 2, 2023, CMS posted Transmittal 210 … Revisions to the State Operations Manual (SOM) Appendix M – Hospice(192…… Continue reading Revisions to Appendix M – Hospice State Operations Manual (SOM)     

PBJ: Upcoming iQIES Service Center Hold Times   

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Due to the Payroll Based Journal (PBJ) quarterly deadline, the iQIES Service Center is projecting an increase in the volume of calls and emails between now and February 14, 2023.  Live phone and email support for the Monday, February 14, 2023, PBJ Deadline will be available until Monday, February 14, 2023, at 8:00 PM ET. All files must be…… Continue reading PBJ: Upcoming iQIES Service Center Hold Times   

January 2023 Update: Appendix B – RAI 3.0 User’s Manual  

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The January update of Appendix B to the RAI 3.0 User’s Manual contains changes to the list of State RAI Coordinators, MDS Automation Coordinators, RAI Panel members, and CMS locations and contacts. Appendix B 01302023 (PDF) Changes to Appendix B_January_2023  There are several changes this month (none posted…… Continue reading January 2023 Update: Appendix B – RAI 3.0 User’s Manual  

2023 OIG Operation Nightingale Enforcement Action  

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On January 25, 2023, the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG) and our law enforcement partners launched a multi-state coordinated law enforcement action to apprehend individuals engaged in a scheme to sell false and fraudulent nursing degree diplomas and transcripts.…… Continue reading 2023 OIG Operation Nightingale Enforcement Action  

Nursing Home Survey on Patient Safety Culture Database  

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare AHRQ has established the Nursing Home Survey on Patient Safety Culture Database as a central repository for survey data from nursing homes that have administered the AHRQ patient safety culture survey instrument and choose to submit their survey data to the Nursing Home SOPS® database. This database serves…… Continue reading Nursing Home Survey on Patient Safety Culture Database  

President Biden to End COVID-19 Emergencies on May 11, 2023  

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare “President Joe Biden informed Congress on Monday that he will end the twin national emergencies for addressing COVID-19 on May 11, as most of the world has returned closer to normalcy nearly three years after they were first declared. The move to end the national emergency…… Continue reading President Biden to End COVID-19 Emergencies on May 11, 2023  

CMS Issues Final Rule to Protect Medicare, Strengthen Medicare Advantage and Hold Insurers Accountable   

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Today (January 30, 2023), the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), finalized the policies for the Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program, which is CMS’s primary audit and oversight tool of MA…… Continue reading CMS Issues Final Rule to Protect Medicare, Strengthen Medicare Advantage and Hold Insurers Accountable   

Revisions to Hospice-Appendix M of the State Operations Manual and the Hospice Basic Surveyor Training

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Today, January 17, 2023, CMS posted QSO-23-08-HOSPICE with the same title as this blog. This Memorandum is 196 pages in length, with the actual revised Appendix M starting on page 25.  There are 3 Attachments with Attachment III being the Transmittal – Advanced Copy: There’s a…… Continue reading Revisions to Hospice-Appendix M of the State Operations Manual and the Hospice Basic Surveyor Training