CMS Encourages States to Use Medicaid Payments to Nursing Homes to Drive Better Health Outcomes for Residents, Improve Staffing

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Just this morning (Monday, August 22, 2022), CMS posted the Press Release with the same title as this blog. Today, the Centers for Medicare & Medicaid Services (CMS) issued an informational bulletin detailing actions that states can take using existing Medicaid authorities to drive better health…… Continue reading CMS Encourages States to Use Medicaid Payments to Nursing Homes to Drive Better Health Outcomes for Residents, Improve Staffing

FY2023 ICD-10 codes for MDS V3.00.1 (FINAL) Data Submission Specifications Posted

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS posted an updated PDPM ICD Codes database for the MDS V3.00.1 (FINAL) Data Specifications is now available for download under the Downloads section at the bottom of this webpage.  The database contains two new tables.  The table pdpm_icd_codes_FY2023 contains the allowed FY2023 codes for I0020B, while table…… Continue reading FY2023 ICD-10 codes for MDS V3.00.1 (FINAL) Data Submission Specifications Posted

August 2022 Updates to RAI User’s Manual – Appendix B

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The August 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 was updated by CMS on August 19, 2022. The updated Appendix B, dated…… Continue reading August 2022 Updates to RAI User’s Manual – Appendix B

Palliative Care Quality Measures Guide: Elevating Patient and Caregiver Voices

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The American Academy of Hospice and Palliative Medicine (AAHPM) developed this implementation guide to help palliative care teams implement and collect data for two patient-reported outcome performance measures (PROPMs) for quality improvement (QI) and regulatory reporting efforts. The Palliative Care Measures Project was led by AAHPM,…… Continue reading Palliative Care Quality Measures Guide: Elevating Patient and Caregiver Voices

Latest CMS, CDC and NHSN COVID-19 Nursing Home

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS has posted the Nursing Home COVID-19 data for the week ending August 7, 2022. Comparing the August 7th data to the July 24th data shows these changes: Resident primary vaccination completion rate decreased by 0.4% from 2 weeks priorResidents with booster doses increased 0.5% from 2…… Continue reading Latest CMS, CDC and NHSN COVID-19 Nursing Home

Creating a Roadmap for the End of the COVID-19 Public Health Emergency

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS posted a blogwith the same title as this blog on Thursday, August 18, 2022. The authors of the blog are Jonathan Blum, Chief Operating Officer and Principal Deputy Administrator; Carol Blackford, Director Hospital and Ambulatory Policy Group; and Jean Moody-Williams, Deputy Director of the Center…… Continue reading Creating a Roadmap for the End of the COVID-19 Public Health Emergency

Your Participation in ONC Interoperability Survey is Needed!

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Yesterday, I blogged on the ONC Interoperability Survey of SNFs. This survey is extremely important and you participation is needed!  The US Department of Health & Human Services (HHS) Office of the National Coordinator for Health Information Technology (ONC) has contracted with a data analytics and…… Continue reading Your Participation in ONC Interoperability Survey is Needed!

Recent Additions to OIG Work Plan

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare These items have been added to the OIG work plan this month (August): “Understanding skilled nursing facilities’ (SNFs’) costs is crucial to understanding the factors that contribute to nursing home performance and how nursing homes deliver care to beneficiaries. The cost of services, facilities, and supplies…… Continue reading Recent Additions to OIG Work Plan

Five Individuals and Two Nursing Facilities Indicted on Charges of Conspiracy to Defraud the United States and Health Care Fraud

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Attention: MDS Coordinators, Reimbursement Specialists, Facility Owners and Management Teams. This is a news release you need to read.  Falsifying MDS assessments has very serious consequences as does falsifying staffing records! “Five individuals and two for-profit skilled nursing facilities in Southwestern Pennsylvania have been indicted by…… Continue reading Five Individuals and Two Nursing Facilities Indicted on Charges of Conspiracy to Defraud the United States and Health Care Fraud

Reporting Exceptions Granted Due to Kentucky Severe Storms, Flooding, Landslides and Mudslides

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Centers for Medicare & Medicaid Services (CMS) is granting exceptions1 under certain Medicare quality reporting and value-based purchasing programs to providers located in areas affected by the Kentucky severe storms, flooding, landslides, and mudslides to assist these providers while they direct their resources toward…… Continue reading Reporting Exceptions Granted Due to Kentucky Severe Storms, Flooding, Landslides and Mudslides