Tag: RUG calculation

Essential tools for the MDS coordinator

Whether you are just beginning your career or are a veteran MDS coordinator, you play a pivotal role in managing the long-term care residents’ care.

IRF and LTCH QRP Provider Preview Reports- 3 Days Left to Review Your Data!

Inpatient Rehabilitation Facility (IRF) and Long-term Care Hospital (LTCH) Quality Reporting Program (QRP) Provider Preview Reports are available until September 30, 2016. Review your performance data on each quality measure prior to public display on the IRF Compare or LTCH Compare websites. For more information: IRF Quality Public Reporting webpage and Preview Report Access Instructions […]

CMS releases Skilled Nursing Facility utilization and payment data

On March 9th, the Centers for Medicare & Medicaid Services (CMS) released a public data set that provides information on services provided to Medicare beneficiaries by skilled nursing facilities (SNFs).  The Skilled Nursing Facility Utilization and Payment Public Use File (SNF PUF) contains information on utilization, payments, and submitted charges organized by provider, state, and […]

Upcoming webcast! SNF Therapy Contracts: Implementing a Shared Risk Arrangement to Reduce Citation Risk,Tuesday, March 10, 2015

Upcoming webcast! SNF Therapy Contracts: Implementing a Shared Risk Arrangement to Reduce Citation Risk. Tuesday, March 10, 2015: 1:00 p.m.–2:30 p.m. (ET) The use of contracted therapists in your SNF immediately increases your citation and criminal risk in terms of billing and liability. In this 90-minute webcast, expert Reginald M. Hislop III, PhD, discusses how to […]

CBO announces Medicare and Medicaid spending growth at slower rate

Medicare and Medicaid spending will grow at a slower rate than past predictions indicated, the Congressional Budget Office stated Tuesday. However, an aging population will put increasing pressure on government healthcare programs. Federal spending on Social Security and the major healthcare programs is set to “rise sharply” and account for 14% of gross domestic product […]

Don’t miss out on our next Long Term Care Regulatory Compliance Boot Camp! April 14-17 in Columbus, OH

The Long-Term Care Regulatory Compliance Boot Camp is an intensive four-day course that will enable your facility to improve survey outcomes, identify quality of care risk factors, and implement a process improvement plan. Visit our website to register. (http://hcprobootcamps.com/courses/10024/location-dates) You will leave the Long-Term Care Regulatory Compliance Boot Camp knowing how to: Identify deficiencies in […]

Ask the expert: COT dates

Q: Here is a situation for you. Resident admitted: 03/08/2013 M5 ARD: 3/15/2013 A/M14 ARD: 3/20/2013 (Therapy RUG) D/C-re-entry less than 24 hrs, EOT ARD = 3/24/2013 (NSG level) with resumption on 3/25/2013 Should I have a COT on 3/31/2013? I think the answer is yes, but could you clarify? A: I agree with you […]

Ask the expert: Therapy billing

Q: We did an M5/d/c/SOT on a resident that was admitted on 3/6 and discharged on 3/7. All therapies were treated on the last day. Here is some more information: ADL RUG IV score: 3 PT: 60 min OT: 60 min ST: 25 min Total: 145 min We submitted and then received fatal error ID […]

Ask the expert: Hospice coding

Q: If someone is on Hospice and a hospice worker gives that person a bath, which they do in our building, we were instructed that we cannot take credit for it on the MDS—so would we code it not assessed? Doesn’t make much sense, being that it is not one of the late loss ADLs […]