Tag: regulatory guidance

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: […]

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 […]

This domain sets the basis for your facility’s 5-star rating

The following post is an excerpt from The Five-Star Quality Rating System Technical User’s Guide by Maureen McCarthy, BS, RN, RAC-MT, QCP-MT and Reginald M. Hislop III, PhD. The annual health inspection survey sets the basis of the star system. The last page of the 5-star report lists the surveys used in the star rating […]

Who needs to prepare for RCS-1?

On July 31, 2016, CMS announced that the payment levels currently used in the prospective payment system (PPS), resource utilization group (RUG) IV, will be replaced in FY2019 by the resident classification system (RCS-1). This replacement is currently scheduled to be implemented by October 2018. This will be a complicated and significant change for providers. […]

Announcing HCPro’s newest service: PROPELLong-Term Care

From mitigating legal and resident safety risks to driving compliance and growth amid constant unpredictability, the challenges faced by modern long-term care leaders are too numerous, varied, and complex to fit within the confines of any single book or brainstorming session. Your needs are evolving, and so are we. We’re excited to announce HCPro’s newest […]

Revised SNFABN mandatory for use beginning May 7, 2018

CMS is releasing a newly revised skilled nursing facility advanced beneficiary notice (SNFABN) along with newly developed, concise and separate instructions for form completion.  The revised SNFABN has the requirements from the denial letters and looks very similar to the ABN with 3 different options. CMS will be discontinuing the 5 SNF Denial Letters and […]

WHO: Antibiotic resistance a ‘serious situation’ worldwide

This post has been republished with permission from the author, Matt Vensel, HCPro OSHA Healthcare Advisor While releasing surveillance data from 40 countries, the World Health Organization (WHO) on Monday declared antibiotic resistance a “serious situation” in both high- and low-income countries. In a press release, WHO said the data, collected as part of its […]

Four basic leadership styles every long-term care manager should follow

This is an excerpt from The Long-Term Care Director of Nursing Field Guide, Third Edition, written by Barbara Acello, MS, RN. For a long time, people thought there were only two leadership styles—autocratic and democratic. In fact, people used to shout at each other from these two extremes, insisting that one style was better than […]