A resident in our facility is covered by a Managed Medicaid plan and also has Medicare Part C. She did not have a qualifying hospital stay and is now ordered to receive physical therapy five days a week. Is this a skilled service?
Regulatory Specialist Diane Brown discusses the dilemma of when the ARD and R2B dates overlap the end of a quarter.
Regulatory Specialist Diane Brown dicusses how to deal with the admission MDS when a resident is discharged on the 14th day of his or her SNF stay.
A proposed rule released by CMS on May 1 calls to implement a new case-mix classification model, known as Resource Utilization Group, Version Four (RUG-IV), for FY 2011.
The proposed rule recently released by CMS calls for a market basket increase and significant cuts to Medicare payments for FY 2010.
This month’s free form at MDSCentral is a guide to SNF beneficiary notifications. The guide, which ran in the February issue of PPS Alert for Long-Term Care, identifies several different scenarios and explains when to use ABNs and expedited determination notices.
If the most recent CMS open door forum is any indicator, long-term care providers are still confused about beneficiary notices.
Updated pain management guidance for nursing homes under F309 is now in effect: CMS released the new guidance Friday afternoon.
Providers who want to participate in the CMS nursing home value-based purchasing demonstration must apply by May 1 to be part of the pay-for-performance demonstration that begins July 1.
CMS posted an updated MDS 3.0 timeline on its Web site Tuesday, but apparently removed the MDS 3.0 Web site and timeline Wednesday.