Tag: LTC

New CMS policy could change inpatient rehab denial trend

In the past, Medicare contractors have been allowed to deny a claim for inpatient rehab if the required three-hour minimum of direct care mark was missed by mere minutes, even if the additional minutes were made up on a subsequent day. Now, however, due to new guidance released by CMS, this denial trend could change. […]

Tune into CMS’ next SNF/LTC open door forum March 8

The next CMS Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum scheduled for: Thursday, March 8, 2018, 2:00 PM – 3:00 PM Eastern Time (ET). Announcements and updates will include: Low Volume Appeals Opportunity Announcement SNF QRP Update Payroll-Based Journal (PBJ) Update Click here for call-in information.

Survey preparation experts will share their top tips on Wednesday, March 7

It’s important that providers understand how the new survey process differs from prior survey cycles and what to expect from surveyors before they arrive at the facility. On Wednesday, March 7, from 1:00-2:00pm, ET survey preparation experts Reginald M. Hislop III, PhD, and Diane R. Hislop, RN, will help providers prepare for the new QIS-driven […]

CMS announces disaster exceptions/exemptions for providers affected by California wildfires

CMS is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to skilled nursing facilities, home health agencies, and hospices. These healthcare providers and suppliers will be granted exceptions without having to submit a request if they are located in Santa Barbara county or Ventura county. The scope and duration of the exception […]

How will ADL scoring change under RCS-1?

RCS-1 was introduced in an Advance Notice of Proposed Rulemaking [CMS-1686-ANPRM]. While providers are awaiting an implementation date, HCPro is dedicated to helping you understand the changes from RUG-IV and navigate the shift every step of the way! An important change introduced by RCS-1 affects capturing of ADLs and a reduction in the number of assessments required. “With […]

Ethical principles for long-term care billers

The following post is an excerpt from Medicare Guide for SNF Billing and Reimbursement by Janet Potter, CPA, MAS, and Frosini Rubertino, RN-CNE, CDONA/LTC, CPRA. The following ethical principles are based on the core values of The Billers’ Association for Long-Term Care. They apply to all members. Long-term care billing professionals shall do the following: […]

Facts and free resources for preventing the flu in long-term care

Impacts of the flu on seniors ages 65 years and older range from an increased risk for heart attack, stroke, and bacterial lung infection (i.e. bronchitis or pneumonia), as well as a negative impact on ability to function independently. Due to these increased risks, it is unlikely that a senior infected with the flu will […]

Scientists are able to completely reverse Alzheimer’s in mice

By slowly reducing levels of the enzyme BACE1 in mice as they age, scientists at the Cleveland Clinic in Ohio discovered that the formation of amyloid plaques on the brain (bits of protein build up that are believed to be at the root of Alzheimer’s disease) were either prevented or reversed. The study was published […]

Understanding phase 2 requirements for survey readiness

A thorough review and update of the implementation of Phase 2 requirements, as well as preparation tactics for survey readiness, will help long-term care providers mitigate citation risks. This review will also help providers understand what to expect as surveys transition throughout the year to the new outcome-oriented survey format. During HCPro’s 60-minute webinar on […]

New guidelines make significant changes to management of C. Difficile

Clostridium difficile or C. diff is a deadly, treatment-resistant infection and the most important cause of healthcare-associated diarrhea. Adults who are 65 years and older and in a long-term care facilities are especially at risk for the highly contagious infection. Earlier this year, a panel of experts was convened to update the 2010 clinical practice […]