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Post-Acute Wound Management and Patient-Derived Reimbursement Models

By: Roger B. Schechter, MD, Fellow of American College of Wound Specialists; Chief Medical Officer, Synergy Wound Technology Wound care has always been a considerable challenge in the post-acute setting. Patients with skin breakdown usually have a plethora of chronic comorbid conditions. Chronic wounds themselves, including pressure injuries, diabetic foot ulcers, venous leg ulcers, severe […]

Qualifiers for ICD-10 Diagnosis Codes on Electronic Claims

As you submit electronic claims for services, it is important for you to remember that: Claims with ICD-10 diagnosis codes must use ICD-10 qualifiers; all claims for services on or after October 1, 2015, must use ICD-10 Claims with ICD-9 diagnosis codes must use ICD-9 qualifiers; only claims for services before October 1, 2015, can […]

Care area triggers, the CAA process, and how they help the IDT

Editorial Note: This post has been adapted from HCPro’s popular title Long-Term Care MDS Coordinator’s Field Guide by Carol Maher, RN-BC, RAC-CT. For content details and ordering information, visit our Marketplace! What is a care area trigger? Certain single MDS items can trigger a care area. Some care areas are triggered by comparing responses entered […]

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.  

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 […]

CMS releases interpretive guidelines, F-Tags for new survey process and penalty updates

The Centers for Medicare & Medicaid Services (CMS) has released revised interpretive guidelines to clarify existing requirements and provide guidance for Phase 2 of the new survey process, which includes requirements such as antibiotic stewardship, facility assessment, and QAPI. Along with a revised Appendix PP, CMS also published two documents to help providers understand revisions […]

OIG releases new report, prompting CMS to publish new fact sheet for 3-day rule

The HHS Office of Inspector General (OIG) has released the “Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs: Top Unimplemented Recommendations” which includes eight recommendations to CMS regarding Medicare Parts A and B: CMS should analyze the potential impacts of counting time spent as an outpatient toward the 3-night requirement for skilled nursing […]

CMS releases Five Star Quality Rating updates and FAQ for SNFs

In the midst of the coronavirus pandemic, CMS has updated the Nursing Home Compare site with updates for SNFs. The updates, announced in an April 24 memo, include: Nursing Home Compare website & Nursing Home Five Star Quality Rating System: The inspection domain will be held constant temporarily due to the prioritization and suspension of […]

CMS implements new COVID-19 testing requirements for SNFs

CMS implemented stricter COVID-19 testing requirements for nursing homes on August 25. Routine staff testing, which was previously just recommended, is now a requirement for participation for Medicare and Medicaid. The required frequency of staff testing will be based on the degree of community spread surrounding a facility. Further guidance on frequency of testing will […]