Category: Uncategorized
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Fiscal Year (FY) 2024 Skilled Nursing Facility Prospective Payment System Proposed Rule (CMS 1779-P)
Extra Extra read all about it! review the proposed changes by clicking the link below: https://www.cms.gov/newsroom/fact-sheets/fiscal-year-fy-2024-skilled-nursing-facility-prospective-payment-system-proposed-rule-cms-1779-p
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MDS Draft RAI just released now the work can begin:
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual If you as a MDS coordinator or anyone in your facility needs help in educating your staff please reach out to Skilled Nursing Support Maria.messina@skillednursingsupport.com Call for a discovery call of what I may be able to help you with. 1-617-429-9903
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Regulations that MDS Coordinators should be aware of to be survey ready related to changes in billing notices and completion of MDS
regulations are copied fromhttps://www.cms.gov/medicare/provider-enrollment-and-certification/guidanceforlawsandregulations/downloads/appendix-pp-state-operations-manual.pdf GUIDANCE §483.10(g)(17)-(18) Residents must be told in advance when changes will occur in their bills. Providers must fully inform the resident of services and related changes. A Medicare beneficiary who requires services upon admission that are not covered under Medicare may be required to submit a deposit provided the notice provisions…
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Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Frequently Asked Questions (FAQs) 2023
Do you understand the SNF quality reporting system? Please review answers to questions on link below. https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits/skilled-nursing-facility-quality-reporting-program/snf-quality-reporting-program-faqs- See actual questions here: FY2023-SNF-QRP-FAQs (PDF)
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“AG Campbell Issues Advisory on Maximum Rates for Temporary Staffing in Nursing Homes”
To Ensure Continued Affordability in Long-Term Care Facilities, AG Advises Temporary Nursing Agencies on Rate Limits https://www.mass.gov/news/ag-campbell-issues-advisory-on-maximum-rates-for-temporary-staffing-in-nursing-homes This is refreshing to learn that Temporary Nursing Agencies are being advised to follow rate limits. Hopefully this will help Nursing Homes to be able to retain staff without the worry of them leaving to become travel nurses…
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Resources:
Are you aware of the changes? Please see links below to help you navigate through rules for coding and upcoming changes. Using the ICD-10-CM https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/PDFs/ICD-10-CM_MLN6447308_Job-Aid_508.pdf Official rules for ICD 10 coding 2023 https://www.cms.gov/files/document/2023-official-icd-10-pcs-coding-guidelines.pdf Updated April 2023 https://ftp.cdc.gov/pub/Health_Statistics/NCHS/Publications/ICD10CM/April-1-2023-Update/ICD-10-CM-Guidelines-April%201,%20FY2023.pdf Coding can be confusing. If you would like help with understanding coding rules please reach out.
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Where do you go to learn Section GG changes for MDS effective 10/2023?
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-Training Recent Updates March 20, 2023 UPDATED RESOURCE AVAILABLE: Video Tutorial: GG0170C. Lying to Sitting on Side of Bed
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Do you know when your residents get a SNF ABN Notice?
This is one of the notices that may get missed being delivered. Please see https://www.cms.gov/Medicare/Medicare-General-Information/BNI/FFS-SNF-ABN- Per cms this notice should be delivered as below Skilled Nursing Facilities (SNFs) must issue a notice to Original Medicare (fee for service – FFS) beneficiaries in order to transfer potential financial liability before the SNF provides:
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Do you know what the default rate is for billing PPS assessments?
Per CMS Medicare Chapter 6 guidelines:Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update Fiscal Year (FY) 2023 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Transmittals/r11541cp 120.6 – Default Billing(Rev. 4409, Issued: 10-04-19, Effective: 11-05-19, Implementation: 11-05-19) As under RUG-IV, there may be instances in which providers may bill the “default” rate on a SNF claim (e.g., when…
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Attention all Long term care facilities and MDS coordinator staff action needed.
Going live April 17 2023, Register for an iQIES Account if you haven’t already. Best practice is to have at least 2 staff members in your facility registered. One should be your MDS coordinator. Per CMS.gov Subject: iQIES for Minimum Data Set (MDS) Submission Release on April 17, 2023 CMS is excited to announce that…