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What a few weeks it has been with the RAI Manual and data set release, FY 2024 proposed rule release and the transition to IQIES. It’s challenging to keep up! I hope you al are doing well with this ever-changing landscape and ongoing transitions. We have two important regulatory reminders today related to the IQIES…...
Hey there Insiders! For those of you who missed this yesterday or if you want to claim those sweet CEUs, you’re in the right place. If you’re looking to review yesterday’s Reflections webinar, see below. The course materials can be downloaded here. On with the show…...
We’ve recently updated Med A Census Navigator™ again to include acuity. You may have noticed it already. Note the addition of PT/OT, SLP, Nursing and NTA boxes. These indicate the percent rank of this facility. For example, in the image, Advanced Healthcare Center in Toledo, this facility is in the 27th percentile for PT and…...
CMS promised a final version of the MDS 3.0 v1.18.11 data set and a Draft version of the RAI manual on or around April 1, 2023, and they have delivered. This morning CMS posted both in the downloads section of the MDS 3.0 website. The final MDS zip file contains 11 unique data sets and…...
Here are a few reminders IQIES IQIES: It’s official. The transition from QIES to IQIES will occur on April 17th. That means that as of that date, providers will no longer be able to submit MDS assessments through the current QIES system. If you have not prepared, NOW is the time. On the CMS LTC…...
Well, the time has come for us to fully consider what the end of the COVID-19 PHE will mean. In other words, we need to ask ourselves, “how will I function differently as an operator on May 12th than I did on May 11th?”. The answer lies in how deeply the flexibility and waivers offered…...
Yesterday I blogged all about North Carolina Medicaid. You can read that blog here. I thought Insiders might appreciate some detail I left out of the public article. COVID-19 Add-On I made this statement: The average skilled nursing facility could see a reduction of $137,402.60 per quarter. Me ~ Less than 24 hours ago. You…...
Now that the dust has settled related to the president’s surprise announcement last Friday, that the COVID-19 PHE will end on May 11, 2023, CMS released official word supporting the president’s declaration. CMS released two important documents that detail the road map to the end of the PHE. The first was a Letter to U.S.…...
I am writing this reminder with some hesitation. On January 30, 2023, the Biden-Harris Administration announced its intent to end the national emergency and public health emergency (PHE) declarations related to the COVID-19 pandemic on May 11, 2023. Note that there has yet to be an official announcement from CMS or DHS. However, the current…...
The ABNs and NOMNCs: What, Why, How and When? Notices of non-coverage in the SNF can be confusing and this can cause providers are not compliant. This presentation will untangle CMS guidance and regulatory requirements to help providers become more proficient at notifying beneficiaries of non-coverage issues specifically related to the SNF ABN, CMS-R-131, NOMNC…...