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CMS updates guidance on certain NOA reporting

On Sept. 10, 2021, CMS provided updated guidance on certain claims as agencies transition from the monthly RAP to a one-time Notice of Admission (NOA) in 2022. As previously noted by CMS, for beneficiaries receiving home health services in 2021 whose services will continue in 2022, the agency will need to submit a one-time, artificial […]

Feds Pursue Fraud Claims Against PPP Recipients

To help struggling businesses needing immediate access to cash during the COVID-19 pandemic, Congress introduced the Paycheck Protection Program (PPP) as part of the Coronavirus Aid, Relief, and Economic Security (CARES) Act in 2020. Some companies, however, didn’t use the PPP loan funds as Congress intended. Because of a broad range of associated fraud, the […]

HHS prepares $25.5 billion in pandemic aid to providers

The Department of Health and Human Services (HHS) will make $25.5 billion available to health care providers impacted by the pandemic, with the application period opening Sept. 29. This funding includes $8.5 billion in American Rescue Plan (ARP) resources for providers who serve rural Medicaid, Children’s Health Insurance Program (CHIP) or Medicare patients, and an […]

Tips for Employers Awaiting Details on New COVID-19 Vaccine Rules

President Biden’s recently announced that all healthcare workers, and employees at companies with over 100 employees must implement vaccine mandates. This announcement has some employers “scrambling,” according to James P. Reidy, an attorney with Sheehan Phinney in Manchester, New Hampshire. They’re asking how the 100-employee threshold is defined, what industries are included, and when the […]

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Intake and output monitoring

You should monitor residents who have fluid imbalances or are at high risk of dehydration by calculating intake and output (I&O) each shift.

Fire safety guidance for senior living

This post is an excerpt taken from HCPro’s new title, Disaster Planning, Infection Control, and OSHA Compliance: A Toolkit for Senior Living, a cost-effective, all-inclusive guide to improve safety and satisfaction in your senior living facility. Fire drills should be done based on your state regulations and/or your facility’s policy and procedures. Staff must be […]

Coronavirus fears at work: What employers need to know to stay protected

News reports of deaths and illnesses from the rapidly spreading coronavirus get scarier every day. Millions of people are being quarantined. Foreign companies and governments are evacuating their people from hard-hit areas of China where the virus got its start. And even employees who don’t travel for work are getting anxious about traveling coworkers who […]

PDPM Q&A: Payment overview and billing

CMS has released its FAQ sheet on PDPM: Q. What is PDPM? A. The Patient Driven Payment Model (PDPM) is a new case-mix classification system for classifying skilled nursing facility (SNF) patients in a Medicare Part A covered stay into payment groups under the SNF Prospective Payment System. Effective beginning October 1, 2019, PDPM will […]

Ask the expert: Tube feeding coverage

Q: We have a lot of questions in our facility about tube feeders and Medicare Part A eligibility. Here is one example: A person getting tube fed uses 100 days of their benefit, goes off Medicare Part A, has a 60 day break in illness, and was then readmitted to hospital with a hip fracture. He […]