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.…...

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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…...

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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…...

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Regulatory Reminder!

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…...

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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!

Regulatory Reminder – iQIES and 5-Star

This is just a heads up regarding a few significant changes occurring soon: iQIES and 5-Star threshold revisions. Internet Quality Improvement Evaluation System (iQIES) Hopefully this is not the first time you have heard about iQIES. If it is, don’t worry, it is very new. In early 2023, CMS will switch systems for providers to…...

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