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Ask the expert: Death in the facility assessments

Q: If a resident was discharged to the hospital and died within 24 hrs in the hospital, do we need to do a discharge assessment or death in the facility assessment? I read an article claiming that it should be a death in the facility since the resident was not admitted in the hospital, but I […]

Therapist layoffs reported as a result of PDPM

Since the implementation of PDPM on October 1, thousands of therapists have been laid off, reports Modern Healthcare. The payment system prior to PDPM, RUG-IV, allowed SNFs to bill therapy services they deemed necessary, but some took advantage by ordering superfluous therapy services to gain additional reimbursement from Medicare. PDPM seeks to stop this practice. […]

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 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 […]

CMS finalizes discharge rule and clarifies points about aide competency testing

The long-awaited final discharge planning rule, released today, appears to offer some good news for home health agencies. And simultaneously CMS clarifies in a separate rule that pseudo-patients are OK to be used for home health aide competency testing, an issue there has been a lot of questions about. CMS states in the rule that […]

Resources for a smooth transition to PDPM

Brought to you by Biller’s Association for Long-Term Care. As SNF and nursing home providers familiarize themselves with CMS’ new Patient Driven Payment Model (PDPM), The Bottom Line is here to keep you educated and up to date on the latest resources, guidance, and best practices as they are made available. Here are this week’s […]

Pros and Cons of Requiring COVID-19 Vaccinations

The long-awaited COVID-19 vaccine’s arrival has provided a ray of sunshine for employers hoping for a better 2021. But it also raised a slew of questions: How long until my workforce has access to it? Can I require all employees to be vaccinated? What if an individual worker refuses? Let’s look at the reasoning behind […]

CMS releases new guidelines for SNF visitations

CMS released updated guidelines regarding COVID-19 in a March 9 memo advising SNFs “actively screen and restrict” any visitors the meet the following criteria: Signs or symptoms of a respiratory infection, such as fever, cough, shortness of breath, or sore throat. In the last 14 days, has had contact with someone with a confirmed diagnosis […]

OSHA Issues Guidance on Cloth Face Coverings, Surgical Masks, Respirators

Since the COVID-19 pandemic started, employers have struggled to understand the Occupational Safety and Health Administration’s (OSHA) position on cloth face coverings and surgical masks, specifically whether the agency requires or recommends their use and whether they constitute personal protective equipment (PPE). Although the issues may seem trivial, employers want to know what their compliance […]