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Q&A: Providing alternatives to telemedicine

Q: Telemedicine may not be the best fit for all patients. How can case managers help facilitate in-person visits for those patients that cannot engage in telemedicine visits? A: If both in-person and telemedicine visits are available, it may be helpful to communicate with the providers to help educate patients on which might be more […]

Ensure patients are up to date on vaccines for influenza, pneumonia

In the midst of the COVID-19 public health emergency and the height of flu season, it is important to ensure patients in home health and hospice care are up to date on their influenza and pneumonia vaccines. A post on a Celerian Group Company (CGS)’s website reminds providers: Home health agencies can provide the influenza […]

Q&A: Querying for acute respiratory failure

Q: Acute respiratory failure is consistently one of our top denied diagnoses. We’ve tried to address common documentation errors through education but are still seeing issues. How can our CDI staff and coders create more effective queries for this condition? A: The main reason I see for acute respiratory failure denials is a lack of […]

MACs announce RAP workaround due to error message

An issue with RAP processing under the new no-pay RAP policies has led to some RAPs being returned to agencies, but Medicare Administrative Contractors (MACs) have determined a workaround, according to a message from CGS to providers last week. While its optional for you to report a Core-Based Statistical Area (CBSA) code using value code […]

New Podcast: Quality Measures and Vaccination Programs

Today we talk with Annette Sanders, MSN, RN, CLNC, senior consultant at LW Consulting about new proposed quality measures and about challenges and considerations to think about while running a vaccination program in your facility. Listen below or at: Soundcloud Spotify Apple Podcasts Post-Acute Advisor · Infection Reporting and COVD-19 Vaccination Programs

CMS launches platform for SNF waiver requests and PHE inquiries

CMS launched a platform to standardize Section 1135 waiver requests and Public Health Emergency (PHE)-related inquiries on January 11. This tool is expected to streamline how SNFs submit waiver requests and inquiries, and how CMS reviews the submitted information. With very limited exception, all 1135 waiver requests and/or PHE-related inquiries going forward should be submitted […]

CMS announces expansion of Home Health Value-Based Purchasing Model

CMS will expand the Home Health Value-Based Purchasing (HHVBP) Model, officials announced January 8, 2021. Currently implemented in nine states, the model has saved Medicare an average of $141 million annually, with an average improvement in quality scores of 4/6%, according to a news release. The HHVBP Model adjusts payments to agencies based on quality […]

COVID-19 focused infection control survey tool for acute and continuing care

CMS is revising the COVID-19 focused infection control (FIC) survey tool for acute and continuing care to help ensure an effective assessment of a provider’s or supplier’s implementation of the appropriate infection prevention standards, according to a memo released December 30. In agreement with QSO-20-35-All (dated August 17, 2020) related to the revised survey prioritization, […]

Q&A: Preparing revenue cycle education for clinical staff

Q: What are some key revenue cycle topics that should be included in education geared toward clinical staff? A: Education for clinical staff should be specifically tailored to their functions and their direct interaction with and impact on the revenue cycle. Clinical staff should not be inundated with information that is not relevant to them. […]