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Post-Acute Advisor

WEBINAR: Goodbye RUG-IV, Hello RCS-1!

 

On July 31, 2016, CMS announced that the payment levels currently used in the prospective payment system (PPS), resource utilization group (RUG) IV, will be replaced in FY2019 by the resident classification system (RCS-1). This is a complicated and significant change for providers. The majority of the changes that will occur with the implementation of RCS-1 are based on claims history and MDS data submitted. In order to understand and prepare for this shift, providers will need to learn how to achieve quality outcomes and higher reimbursement under a system that will offer different incentives.

 

 

CMS offers new web-based training for Section GG

 

The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training module to address questions submitted by providers during trainings between November 2015 and August 2016 related to Section GG across the skilled nursing facility, long-term care hospital, inpatient rehabilitation facility, and home health care settings. This training is designed to be used on demand anywhere you can access a browser and includes interactive exercises that allow you to test your knowledge in real life scenarios.

 

 

Post-flu risks remain a concern for older adults months after recovery

 

The flu not only looks different in seniors ages 65 and older, but according to infectious disease experts, post-illness risks as a result of the systemic inflammatory response to the flu are a growing concern for the elderly in particular.

 

 

Do you know who all your customers are?

 

In long-term care, there are many customers, including residents, fellow staff members, contractors, vendors, surveyors, maintenance workers, volunteers, delivery staff members, visitors, prospective residents, discharge planners, the community, and every person who enters the facility. Many staff members should be considered customers as well, including...

 

 

New guidance on updating demographic data on Hospice Compare

 

The demographic data displayed on the Provider Preview Reports and on Hospice Compare is generated from information stored in the Automated Survey Processing Environment (ASPEN) system.

 

 

Home health care fastest growing employer

 

The Bureau of Labor Statistics (BLS) projects that home health care will be fastest growing industry from 2016 to 2026.

 

 

HCPro career center year-end special: Save 15% on all job postings

 

Visit jobs.hcpro.com and use code HCPROYES to receive 15% off finding your next employee. Valid thru January 15, 2018.

 

 

 

 

In case you missed it last week, new in the December issue of PPS Alert for Long-Term Care...

 

SNFs seek relief from three-day hospital stay requirement

 

Critics call the three-day inpatient stay requirement for patients to qualify for Medicare coverage at a skilled nursing facility (SNF) archaic, irrelevant, and a threat to patient safety. Now, SNFs and their partners are pushing hard to reform this half-century-old law.

 

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Monthly Inservice: Setting Priorities

 

Click here to subscribe to CNA Training Advisor and receive a new lesson plan every month, including course materials, a 4-page in-service, and a quiz targeted to address the unique needs, interests, and concerns of CNAs.

 

Simplified Compliance: Education and Training Tools

 

Lead change in your facility with adaptability, empowerment, innovation, and critical thinking

 

Dozens of in-service training lessons for your facility’s certified nursing assistants and all frontline staff

 

[STUDY GUIDE] All you need to know to prepare for the NAB Nursing Home Administrator exam

 

[WEBINAR] Set standards that facilitate ongoing quality of care and life among residents living with dementia

 
 

Product Spotlight

Skilled Nursing Facility Billing Boot Camp

 

Skilled Nursing Facility Billing Boot Camp provides hands-on, how-to education focusing on billing for Medicare Part A and B, the ins and outs of consolidated billing, accurately completing the UB-04. Plus, guidance on understanding the SNF coverage criteria and a breakdown of the different beneficiary notices.

 

Attendees will be able to return to their facility with the tools they need to understand the latest billing and reimbursement regulations, plus how to navigate the many billing processes to ensure their SNF is receiving appropriate reimbursement for services provided.

 

Billers Association Members (BAM) save 10% off the registration fee!

 
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Upcoming CMS Events

 

 

 

Tuesday, January 9, 1:30pm-2:30pm, ET - Low Volume Appeals Settlement Option Call

 

 

Thursday, January 11, 1:00pm-2:30pm, ET - National Training Program Learning Series

 
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