Category: Skilled Nursing Facility

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 […]

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 […]

Re-evaluating Payment After a Year of COVID

With us today is Maureen McCarthy. Maureen is president of Celtic Consulting, LLC, and CEO and founder of Care Transitions, LLP, a care coordination service provider. We discuss how reimbursement avenues have changed in the past year, and how SNFs need to consider what might change as the pandemic hopefully improves. Post-Acute Advisor · Re-evaluating […]

High intensity therapy may lead to better outcomes for residents

SNF residents who receive high intensity therapy have the lowest 30-day hospital readmission rates, according to a new study conducted by the American Occupational Therapy Association, and the American Physical Therapy Association. High intensity therapy is defined as 90 to 219 hours during the time of care. While the study shows that high intensity therapy […]

CMS releases updated Medicare COVID-19 snapshot

Updated COVID-19 snapshot data reveals that more than 2.7 million Medicare beneficiaries were diagnosed with COVID-19, and nearly 700,000 beneficiaries were hospitalized with COVID-19, between January 1, 2020 to December 26, 2020. Highlights from the latest snapshot include: Since the last snapshot released in January 2021, COVID-19 cases increased by more than 790,000 and hospitalizations […]

Compliance tips for 2021

Industry expert Reg Hislop joins us to talk about top compliance issues for SNFs in 2021. Be sure to check out our deep dive into this topic on a May 11th webinar for Skilled Nursing Week. Listen on SoundCloud Listen on iTunes Connect Listen on Spotify  

Compliance tips for 2021

Industry expert Reg Hislop joins us to talk about top compliance issues for SNFs in 2021. Be sure to check out our deep dive into this topic on a May 11th webinar for Skilled Nursing Week. Listen on SoundCloud Listen on iTunes Connect Listen on Spotify

AHA and AMA call for halt to pending Medicare spending cuts

Congress should prevent planned Medicare spending reductions triggered by the American Rescue Plan Act of 2021, the American Medical Association (AMA) said in a March 17 statement. The reduction, which could be up to 4%, would be enacted under the statutory Pay-As-You-Go (PAYGO) provision, which prevents new legislation from increasing the federal budget deficit. Congress […]

Q&A: Job-specific HIPAA training

Q: As we look forward to 2021, we’re looking to utilize the most up-to-date HIPAA training strategies. I am responsible for training clinical and clerical staff annually. Do you have any recommendations for job-specific HIPAA training? A: HCPro and TeachPrivacy, among others, are solid training provider vendors. They work to keep their training accurate and […]

Nursing home visitation rules relaxed

As nursing home residents are being vaccinated across the country, and cases are dropping in the homes, CMS has announced that in-person visits may resume at most homes. “Facilities should allow responsible indoor visitation at all times and for all residents, regardless of vaccination status of the resident, or visitor, unless certain scenarios arise that […]