It’s been a while since we focused on North Carolina Medicaid. There is actually a lot going on. We going to cover some of it today. Some reference material that will be handy for this post are the current rates. You can download those here. COVID-19 Add-On Currently all Medicaid paid days include an add-on… Continue reading North Carolina Medicaid
Important BFCC-QIO Announcement!
It really is starting off to be a busy regulatory year and we’re trying to keep up. As you may be aware, a significant announcement has been made by both Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) organizations that service SNFs across the country, Kepro and Livanta. These are the organizations that, among… Continue reading Important BFCC-QIO Announcement!
Regulatory Reminder! Inappropriate Schizophrenia Diagnosis/Coding and Survey Citation Posting
It’s a new year and CMS has not wasted any time in making clear their efforts to stem the tide of what they perceive to be inappropriate diagnosing and coding of Schizophrenia. There are going to be some pretty significant adjustments to the 5-star rating system and Care Compare posting of survey citations under dispute.…...
Regulatory Reminders: Consolidated Billing Update 2023
Happy New Year! Welcome to 2023. With all of the changes, challenges and opportunities facing us this year, it’s good sometimes return to areas of the fundamentals of SNF regulation and remind ourselves how important to keep these in focus as well. In February od 2022, you may remember that we completed a BRR Reflections…...
All 9 MDS 3.0 v1.18.11 DRAFT Item Sets Released!
It, still the season for giving right? So… we thought we would provide you with some post Christmas, pre new year reading courtesy of CMS As you may be aware, CMS promised a full set of MDS 3.0 v1.18.11 item sets before the end of the year. Well, CMS has gone and done it again.… Continue reading All 9 MDS 3.0 v1.18.11 DRAFT Item Sets Released!
Regulatory Reminder: Here’s One For Your MDS 3.0v1.18.11 Resource Library
Wow! What a year this has been. I am stunned that it is actually December 15th. Where has time gone? As we reminisce on the last year and look toward all of the changes that are coming our way in 2023, CMS has opened the tap to allow a dribble of information related to MDS…...
QM Cut points? What’s the big deal?
It’s Christmas time again. Hard to believe, isn’t it? Where did 2022 go? Maybe we’re enjoying the return to some normalcy after two years of COVID realities we forgot the time. In our haste to 2023, we should reflect on the changes to the 5- star rating in the last year. Namely, the cut point… Continue reading QM Cut points? What’s the big deal?
Well, it’s been a while and there have been a number of important regulatory soundbites recently. Here goes! Soundbite 1: The COVID-19 Public Health Emergency renewal On October 13th, DHHS renewed the COVID-19 PHE for another 90 days. As a result, the existing waivers are still active. HHS has stated they will give 60 days…...
Quality Measure Series Part III featuring Leah Klusch
Part III of this series is now available to stream for Insiders! Like Parts I and II, this webinar features Leach Klusch. To apply for NAB and/or ANCC CEU hours, please fill out this form. Course materials can be downloaded here.
Knock Knock! Who’s there? The Revised 5-Star User’s Guide!
The much-anticipated 5-Star user’s guide including cut point revisions has been posted! These revisions affect the October Care Compare refresh and provider 5-star ratings. As you may be aware, In March 2019, CMS released memorandum QSO-19-08-NH. This memo outlined a plan to update the quality measure (QM) rating thresholds twice annually. The plan was to… Continue reading Knock Knock! Who’s there? The Revised 5-Star User’s Guide!