Online resource packed with regulatory news and expert guidance, tips & tools pertinent to professionals across the post-acute care continuum.
October 15-16, 2019 | Orlando, FL The Revenue Integrity Symposium is the can’t-miss event for revenue integrity, revenue cycle, and Medicare compliance education and high-level networking for acute and long-term care professionals. Learn from trusted experts with cutting-edge regulatory insight that will arm you with the tools you need to take 2020 by storm. By […]
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 […]
Source: The Bottom Line CMS posted a new DRAFT version of the 2019 MDS item sets (v1.17.0) last week. This version is scheduled to become effective October 1, 2019, giving facilities until then to update their software with the new MDS questions and answers. Downloadable files can be accessed here: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIMDS30TechnicalInformation.html HCPro’s post-acute regulatory specialist […]
By The Bottom Line. The Centers for Medicare & Medicaid Services published the following summary of errors published in the FY2019 SNF PPS final rule: In Tables 6 and 7 on pages 39170 through 39172, we made errors in copying values into the “total rate” column of the tables used in the final rule preamble, […]
Written by Steven Littlehale, MS, GCNS-BC, executive vice president & chief clinical officer for PointRight. The full article originally appeared in the October issue of PPS Alert for Long-Term Care. The clinical and technical eligibility requirements for skilled care coverage in a SNF are unchanged under the proposed RCS-1 system—and frankly, those are just about […]
The updated MDS 3.0 RAI Manual has been released. The changes to the RAI Manual are in alignment with what we expected from the draft released earlier this year. There are a total of 21 change tables, but they mostly include language changes to clarify coding instructions/criteria or definitions. Such changes were made to 12 […]
Editor’s note: This post is an excerpt taken from HCPro’s popular title, MDS Care Plans: A Person-Centered Interdisciplinary Approach to Care by Debbie Ohl, RN, M.Msc, PhD. Looking back in time can help us understand the significance of care planning. Federal involvement in nursing homes began with the passage of the Social Security Act in […]
As expected, SNFs will receive a 1% increase in federal payments for FY 2018, roughly $370 million more than they received in FY 2017. Though the increase amount doesn’t come as a surprise with its original proposal being published back in April, it’s much lower than the $800 million that was proposed for SNFs last […]
Editorial note: This post is an excerpt taken from an article published in the July issue of PPS Alert for Long-Term Care, the industry’s leading resource dedicated to helping long-term care professionals navigate through continual shifts in regulatory compliance, the MDS and PPS processes, and keeping you up to date on industry news. Interested in […]
The Centers for Medicare & Medicaid Services (CMS) has extended the comment deadline for the advance notice of proposed revisions to case-mix methodology rule from June 26, 2017 to August 25, 2017. The advance notice of proposed rulemaking, titled “Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-mix Methodology,” was published […]