Tag: SNF

Ask the expert: Documentation of life expectancy

Q: In order to code Section J1400 of the MDS “yes”, does the facility need documentation from the physician or hospice stating the resident has a life expectancy of less than six months or is just being on hospice sufficient? A: The facility needs documentation from the physician, not the hospice that a resident has a […]

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 […]

2014 SNF Proposed Rule Analysis: Revising and rebasing the SNF market basket

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that is proposing to rebase and revise the SNF market basket for 2014 and subsequent years to reflect more recent data. The current SNF market basket reflects data from 2004 and CMS is proposing to revise and update the SNF market basket […]

2014 SNF Proposed Rule Analysis: Payment changes breakdown

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for 2014. CMS estimates that aggregate payments to SNFs will increase by $500 million, or 1.4 percent, from payments in 2013. This is based […]

2014 SNF Proposed Rule Analysis: MDS item addition

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for 2014. This rule also includes a proposed new item for the MDS Version 3.0. CMS will add MDS item O0420 Distinct Calendar Days […]

Payment rate changes: How will 2014 compare to this year?

On Wednesday, CMS released a proposed rule that would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for 2014. According to CMS, aggregate payments to SNFs will increase by $500 million, or 1.4 percent, from payments in 2013. This estimated increase is attributable to the 2.3 percent […]

Ask the expert: ARD dates

Q: I have a scenario that I find a bit confusing: Admission: 12/13/12 M5: 12/20/12 M14: 12/27/12 M30: 1/9/13 MD ordered home rehab: 1/11/13 EOT DONE 1/13/13 EOT-R: 1/14 then on 1/20/13 When would the COT be? Can these dates be correct? A: The ARD dates in the scenario are within the allowable timeframes, providing […]

FDA warns of potential infection risks tied to mattresses

In an April notice, the Food and Drug Administration (FDA) is alerting health care providers, health care facility staff, and caregivers that damaged or worn covers for medical bed mattresses can allow blood and body fluids to penetrate medical bed mattresses, posing a risk of infection to patients. The FDA is providing recommendations for reducing […]

CMS releases fact sheet on Jimmo v. Sebelius settlement

As MDS 3.0 Insider previously reported, a settlement in the Medicare Improvement Standard case, Jimmo v. Sebelius, was approved on January 24, 2013. Now CMS has released fact sheet that gives an overview of the settlement and some background information. Glenda Jimmo of Lincoln, Vt., was the lead plaintiff in a class-action suit filed after […]

CMS releases clarification about physician delegation in both SNFs and NFs

CMS has released a Medicare Learning Network (MLN) Matters article titled “Physician Delegation of Tasks in Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs)”. The information affects physicians, non-physician practitioners (NPPs) and providers who bill for services related to beneficiaries in SNFs and NFs. CMS is clarifying the regulatory differences concerning physician delegation of tasks […]