Category: Uncategorized
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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…
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Who do you email any MDS clarification questions?
Many of you may have questions once the new MDS is put into play in October 2023. You may be confused on how to code a section. I do see in facebook groups answers being provided which can be helpful. I also see some of the answers that are incorrect. I would suggest to MDS…
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Spring ahead. What does that symbolize for you?
This weekend we changed our clocks to promote daylight to last longer in the day. What does that mean for most of us? Does it mean more time to spend with loved ones at the end of the day. Does it mean more time to spend time outdoors enjoying the sunlight? Does it mean more…
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Do you understand what the MOON form is and how it can impact your Medicare coverage?
Please see Link below for the form that is to be used to inform you that you were in an observation bed and not admitted. It is called the MOON form. https://www.cms.gov/medicare/medicare-general-information/bni/moon This form is to be initiated by hospitals no later than 4/23/23. This is just in time since the 3 day waiver rule…
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Does your parent rely on Medicare for their primary health insurance? You will want to read this.
If your parent has Medicare as their primary health insurance please review the 3 day rule to avoid high costs of short term rehab placement. Today when someone goes to a hospital they usually begin their journey in the Emergency Room. Often they sit there for several hours and may be hooked up to an…
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Do you need help finding a nursing home for your loved one?
I often get calls from friends and family members asking me how they can find a good nursing home for a loved one in need. This is not an easy process due to the emotions that having to place a loved one in a nursing home brings up for them. They usually reach out to…