CMS is staying true to plans to implement a new payment model. The 2020 PPS proposed rule, which was posted to the Federal Register July 11, reinforces the plan to implement the Patient-Driven Groupings Model (PDGM) beginning on or after Jan. 1, 2020. The model will move from 60-day episodes to 30-day payment periods. While […]
A new MLN Matters Article MM11347 on Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2020 is available. Learn updates to payment rates beginning October 1.
A new study published July 1 in the journal Health Affairs found that seniors with dementia who use home care have suffered more severe outcomes stemming from medical emergencies than those in skilled nursing facilities. According to study author Rebecca Gorges, “While Medicaid’s trend to shift long-term care from institutions to the community is intuitively […]
Registration is open for CMS’ SNF QRP Provider In-Person Training Event, August 13 and 14, 2019. The training is a two-day in-person ‘Train the Trainer’ event for providers at the Four Seasons Hotel, 200 International Drive, Baltimore, MD 21202. This event will be open to all SNF providers, associations, and organizations. Like the May 2019 […]
The following is an excerpt from Disaster Planning, Infection Control, and OSHA Compliance: A Toolkit for Senior Living written by Karen T. Stratoti, RN, BSN, LNHA, CALA.
Source: Home Health Line CMS has published updated details on potentially avoidable events, process and outcome measures for 2019. The updated tables also include details on star-ratings measures and quality measures new to Home Health Compare in 2019. Claims-based outcome measures “Medicare spending per beneficiary” and “Discharge to community” are joining the ranks of publicly […]
You should monitor residents who have fluid imbalances or are at high risk of dehydration by calculating intake and output (I&O) each shift.
Q: I have a patient that has 100 days of Medicare Part A and a percutaneous endoscopic gastrostomy (PEG) tube—the primary source of nutrition—in place since 2008 due to laryngeal cancer. All rehab therapy is discontinuing in three days. Can I continue Medicare Part A, related to the PEG tube? A: As long as 26% […]
Source: Home Health Line Ensure clinicians have proper training about how to respond to the OASIS-D item involving patients’ ability to dress their lower body safely. M1820 (Ability to dress lower body) is one of six OASIS items that affect functional case-mix adjustment under the PPS, and it will be one of eight items that […]
On Monday, May 20, the Centers for Medicare & Medicaid Services (CMS) posted the MDS 3.0 RAI Manual, v1.17, containing many of the requirements that providers will need to follow to prepare for the Patient-Driven Payment Model (PDPM) effective October 1, 2019. New changes will be reflected in HCPro’s MDS 3.0 RAI User’s Manual. The […]