Category: News

CMS releases final rule simplifying EHR incentive programs

On October 6, 2015, the Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) released final rules that simplify requirements and add new flexibilities for providers to make electronic health information available when and where it matters most and for health care providers and consumers to […]

PBJ…have you registered?!

The HCPro long-term care team recently posed a few questions to the readers of our periodicals for nursing home providers to better understand how professionals in the field are gearing for the impending introduction of the payroll-based staffing journal (PBJ)—an electronic system through which, starting in July 2016, SNFs will be required to submit staffing […]

ICD-10 is here!

Today, October 1, 2015, the U.S. health care system moves to the International Classification of Diseases, 10th Revision – ICD-10. The Centers for Medicare and Medicaid Services (CMS) have tested and retested their systems in anticipation of this day, and they are now ready to accept properly coded ICD-10 claims. The change to ICD-10 allows […]

CMS reopens public comment period for proposed revisions to the nursing home requirements of participation

On July 16, 2015, the Centers for Medicare & Medicaid Services (CMS) published proposed rules to revise the nursing home Requirements of Participation (RoPs) – the federal rules that govern the standards of care that facilities must meet in order to participate in the Medicare or Medicaid programs.  At the request of many organizations, including […]

CMS announces that Medicare Advantage premiums will remain stable

On September 21, 2015, the Centers for Medicare & Medicaid Services (CMS) announced that Medicare Advantage premiums will remain stable and more enrollees will have access to higher quality plans while, for a sixth straight year, enrollment is projected to increase to a new all-time high. In addition, CMS released new information that shows that […]

New ANA Hostility Prevention Guide Recommends Bartholomew Book

On August 31, the American Nurses Association issued a press release announcing its updated position statement on workplace bullying and violence, stating that the “nursing profession will no longer tolerate violence of any kind from any source.” Among the interventions recommended as “primary prevention” is the HCPro classic work by Kathleen Bartholomew, Ending Nurse-to-Nurse Hostility, […]

ICD-10 is less than 15 days away

ICD-10 is less than 15 days away. Can your staff code in ICD-10? The Centers for Medicare & Medicaid Services has released a new infographic to help you answer this question. If your team is not ready to code in ICD-10, you may not be able to successfully bill for your services. HCPro offers several […]

CDC has released new guidance on antibiotic use in nursing homes

The Centers for Disease Control and Prevention (CDC) has released The Core Elements of Antibiotic Stewardship for Nursing Homes adapts the CDC Core Elements of Hospital Antibiotic Stewardship into practical ways to initiate or expand antibiotic stewardship activities in nursing homes. The program seeks to improve antibiotic prescribing practices and reduce their inappropriate use. Antibiotics are the […]

ICD-10 is around the corner!

As with ICD-9, there are ample resources are available to assist you with coding and clinical documentation for ICD-10. These resources include: Official government coding guidelines cover: Diagnosis coding: ICD-10-CM Official Guidelines for Coding and Reporting 2016 Inpatient procedure coding: ICD-10-PCS Official Guidelines for Coding and Reporting 2016 CMS offers documentation and coding basics for clinicians in […]

Modern healthcare risk management by Reg Hislop III

The second most important function an executive and/or a governance board conducts (second only to planning) is risk management.  This key leadership function is evolving rapidly primarily due to the evolutionary movement around compliance (ACA, CMS, etc.) and the payer focal shift from episodic, procedural care to outcome or evidenced based care, pay-for-performance, etc.  Similarly, as government policy […]