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CMS: Pay attention to telehealth billing rules

CMS is reminding providers to ensure that Medicare claims for telehealth are correctly billed. The agency issued broadly expanded telehealth services as part of its response to the COVID-19 public health emergency. However, a 2018 Office of Inspector General audit found that CMS paid practitioners for some telehealth claims that did not meet Medicare requirements […]

OIG warns providers about COVID-19 vaccine fraud and abuse

The Department of Health and Human Services Office of Inspector General is reminding providers of the rules around administering the COVID-19 vaccine after complaints from patients charged for the vaccine and other reports of fraud and abuse around vaccine distribution. OIG is reminding all participating providers that they: must administer COVID-19 Vaccine with no out-of-pocket […]

Q&A: Leveraging coders to improve HCC accuracy

Q: We’re looking for ways to bring our CDI and coding teams together to improve documentation and coding for appropriate Hierarchical Condition Categories (HCC) capture. Are there any recommended models and should other departments or individuals be working alongside them? A: Fine-tuning coding and documentation to support accurate HCCs is a team effort. The coding […]

President signs sequestration suspension bill into law

On April 14, President Joe Biden signed into law H.R. 1868, which extends a suspension of Medicare sequestration, according to The White House. The move is welcome news to Medicare providers who were preparing for 2% payment cuts if the measure was not approved. The bill was working through Congress last month in an attempt […]

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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 […]

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 […]

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 […]

What SNFs need to be doing right now to deal with COVID-19

Long-term care regulatory expert Stefanie Corbett chats with us on our first Post-Acute Advisor Podcast. Corbett tells us what facilities should be doing right now to prepare for COVID-19, and what to do with suspected or confirmed cases. We also discuss keeping staff safe and healthy, visitation policies, and how to keep trucking on.